Organization
BELLAIREFAMILY & COSMETIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RATHKE (OFFICE MANAGER)
(231) 533-8712
Entity
Organization
Contact information
Practice address
4631 S M 88 HWY, BELLAIRE, MI 49615-9111
(231) 533-8712
(231) 533-4142
Mailing address
4631 S M 88 HWY, BELLAIRE, MI 49615-9111
(231) 533-8712
(231) 533-4142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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