Organization
ORTHODONTIC SPECIALISTS OF MID-MICHIGAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUDSON (PRACTICE MANAGER)
(517) 627-7600
Entity
Organization
Contact information
Practice address
1040 CHARLEVOIX DRIVE, STE, C, GRAND LEDGE, MI 48837
(517) 627-7600
Mailing address
1040 CHARLEVOIX DRIVE, STE C, GRAND LEDGE, MI 48837
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
08/29/2013
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