Organization
CENTERLINE DENTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY 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
122300000X
Dentist
Primary
4963
MI
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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