Organization
MICHAEL WOLFGRAM DDS PC
Active
Other names
Lakeside Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WOLFGRAM DDS (PRESIDENT/OWNER)
(810) 814-3053
Entity
Organization
Contact information
Practice address
8103 HOLLY RD, GRAND BLANC, MI 48439-1846
(810) 695-2580
Mailing address
8103 HOLLY RD, GRAND BLANC, MI 48439-1846
(810) 695-2580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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