Organization
HARTLAND GENTLE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE LOUIS BOUHANA DDS (OWNER DENTIST)
(810) 632-5364
Entity
Organization
Contact information
Practice address
11479 HIGHLAND RD STE A, HARTLAND, MI 48353-2737
(810) 632-5364
(810) 632-9576
Mailing address
11479 HIGHLAND RD STE A, HARTLAND, MI 48353-2737
(810) 632-5364
(810) 632-9576
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/26/2022
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