Individual
DR. ALEXANDER MICHAEL SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18114 GOTTSCHALK AVE, HOMEWOOD, IL 60430-2208
(708) 799-5353
Mailing address
33153 MAPLENUT ST, FARMINGTON, MI 48336-4438
(248) 345-3521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600128
MI
Other
Enumeration date
06/17/2019
Last updated
05/10/2022
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