Organization
GALAYDA & SHACKLEFORD DDS PC
Active
Other names
The Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SHACKLEFORD DDS (OWNER)
(313) 386-9660
Entity
Organization
Contact information
Practice address
1359 CHAMPAIGN, LINCOLN PARK, MI 48146
(313) 386-9660
(313) 386-5515
Mailing address
1359 CHAMPAIGN, LINCOLN PARK, MI 48146
(313) 386-9660
(313) 386-5515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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