Organization
LAKESIDE CENTER FOR IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN F ROBINSON D.D.S. (DENTIST)
(586) 228-0909
Entity
Organization
Contact information
Practice address
15400 19 MILE RD, SUITE 181, CLINTON TOWNSHIP, MI 48038-6327
(586) 228-0909
Mailing address
15400 19 MILE RD, SUITE 181, CLINTON TOWNSHIP, MI 48038-6327
(586) 228-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013244
MI
Other
Enumeration date
10/23/2013
Last updated
08/04/2014
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