Organization
GENTLE DENTAL SHELBY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
4737 24 MILE RD, SUITE 1, SHELBY TOWNSHIP, MI 48316-3148
(248) 651-0203
Mailing address
4737 24 MILE RD, SUITE 1, SHELBY TOWNSHIP, MI 48316-3148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
04/22/2010
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