Organization
MID MICHIGAN GENTLE DENTAL
Active
Parent organization
MID MICHIGAN GENERAL DENTISTRY
Other names
Mid Michigan Gentle Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID MICHIGAN GENERAL DENTISTRY
Authorized official
DR. JASON LEE LEZELL (CEO)
(517) 543-7991
Entity
Organization
Contact information
Practice address
114 S COCHRAN AVE, CHARLOTTE, MI 48813-1510
(517) 543-7991
Mailing address
114 S COCHRAN AVE, CHARLOTTE, MI 48813-1510
(517) 543-7991
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
11/27/2023
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