Organization
GREAT LAKES FAMILY DENTAL GROUP BLISSFIELD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA J HART (GENERAL MANAGER)
(810) 625-2860
Entity
Organization
Contact information
Practice address
9178 E US 223, GREAT LAKES FAMILY DENTAL GROUP BLISSFIELD PC, BLISSFIELD, MI 49228
(517) 486-2030
(517) 486-4414
Mailing address
9178 E US 223, BLISSFIELD, MI 49228
(517) 486-2030
(517) 486-4414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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