Organization
MICHIGAN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARIE SHEEHAN DDS (OWNER)
(248) 674-0384
Entity
Organization
Contact information
Practice address
4626 W WALTON BLVD, WATERFORD, MI 48329-3535
(248) 674-0384
(248) 674-1483
Mailing address
4626 W WALTON BLVD, WATERFORD, MI 48329-3535
(248) 674-0384
(248) 674-1483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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