Individual
CHRISTIAN J SHORTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12756 10 MILE RD, SOUTH LYON, MI 48178-8136
(248) 437-8189
Mailing address
12756 10 MILE RD, SOUTH LYON, MI 48178-8136
(248) 437-8189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29016011242
MI
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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