Organization
CONVENIENT ST, PC
Active
Other names
Convenient Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN MOSKAITIS (OFFICE MANAGER)
(248) 723-1450
Entity
Organization
Contact information
Practice address
52131 VAN DYKE AVE, SHELBY TWP, MI 48316-3529
(586) 739-6363
(586) 739-6473
Mailing address
52131 VAN DYKE AVE, SHELBY TWP, MI 48316-3529
(586) 739-6363
(586) 739-6473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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