Organization
OFFICE 2 PLLC
Active
Other names
Gentle Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL LOREN SHAW DDS (OWNER)
(248) 931-1151
Entity
Organization
Contact information
Practice address
3526 W SAGINAW ST, LANSING, MI 48917
(517) 321-2539
Mailing address
3526 W SAGINAW ST, LANSING, MI 48917-2292
(517) 321-2539
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
11/24/2020
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