Organization
DENTAL DREAMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER STATHAKIS (CFO)
(312) 274-0308
Entity
Organization
Contact information
Practice address
1725 E SHERMAN BLVD, MUSKEGON, MI 49444-1862
(810) 789-5880
Mailing address
1725 E SHERMAN BLVD, MUSKEGON, MI 49444-1862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
09/17/2015
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