Organization
MICHIGAN DENTAL WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NORMAN LEACH II DDS (OWNER)
(810) 695-4300
Entity
Organization
Contact information
Practice address
4025 E HILL RD, GRAND BLANC, MI 48439-7942
(810) 695-4300
Mailing address
4025 E HILL RD, GRAND BLANC, MI 48439-7942
(810) 695-4300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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