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Organization

CENTERLINE DENTURE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RENEE K ELLIOTT (OFFICE MANAGER)
(586) 756-5880
Entity
Organization

Contact information

Practice address
24625 VAN DYKE AVE, CENTER LINE, MI 48015-2303
(586) 756-5880
Mailing address
24625 VAN DYKE AVE, CENTER LINE, MI 48015-2303
(586) 756-5880

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4963
MI

Other

Enumeration date
11/19/2008
Last updated
11/19/2008
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