Organization
ROSE CITY DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG THORSON DDS (OWNER)
(989) 685-8668
Entity
Organization
Contact information
Practice address
126 E MAIN ST, ROSE CITY, MI 48654-8721
(989) 685-8668
Mailing address
126 E MAIN ST, PO BOX 548, ROSE CITY, MI 48654-8721
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901015890
MI
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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