Organization
CANTON CENTER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LAWRENCE FLETCHER DDS (PRESIDENT)
(734) 217-4370
Entity
Organization
Contact information
Practice address
401 N. CANTON CTR. RD. STE. #3, CANTON, MI 48187-5096
(734) 217-4370
Mailing address
401 N. CANTON CENTER ROAD SUITE #3, CANTON, MI 48187-5096
(734) 217-4370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901017652
MI
122300000X
Dentist
Primary
2901020144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811954415
NPPES
MI
01
—
19526324547
NNPES
MI
Enumeration date
01/09/2014
Last updated
01/09/2014
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