Organization
CHINA TOWNSHIP FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON CARL CHARLTON DDS (PRESIDENT)
(810) 329-6655
Entity
Organization
Contact information
Practice address
5013 ST CLAIR HWY, CHINA TOWNSHIP, MI 48054
(810) 329-6655
(810) 329-6687
Mailing address
5013 ST CLAIR HWY, CHINA TOWNSHIP, MI 48054
(810) 329-6655
(810) 329-6687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901016483
MI
122300000X
Dentist
Primary
2901016966
MI
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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