Organization
GREAT LAKES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK KEN CATINO DDS (OWNER DENTIST)
(231) 947-3790
Entity
Organization
Contact information
Practice address
115 E 14TH ST, TRAVERSE CITY, MI 49684-3220
(231) 947-3790
(231) 947-3353
Mailing address
115 E 14TH ST, TRAVERSE CITY, MI 49684-3220
(231) 947-3790
(231) 947-3353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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