Organization
FDA PC
Active
Other names
Fenton Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE KATHLEEN LEZOTTE (OWNER)
(810) 629-5454
Entity
Organization
Contact information
Practice address
1535 N LEROY, F, FENTON, MI 48430
(810) 629-5454
(810) 629-8932
Mailing address
1535 N LEROY, F, FENTON, MI 48430
(810) 629-5454
(810) 629-8932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017712
MI
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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