Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Active
Parent organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Other names
Lansing Elite Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Authorized official
CASSANDRA PETERSEN (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
4912 W ST JOE HWY, LANSING, MI 48917-4090
(517) 481-4170
Mailing address
4912 W ST JOE HWY, LANSING, MI 48917-4090
(517) 481-4170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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