Organization
MICHIGAN DENTURE & IMPLANT CENTER PC
Active
Parent organization
MICHIGAN DENTURE & IMPLANT CENTER PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN DENTURE & IMPLANT CENTER PC
Authorized official
LARENCE J VERNIER D D S (OWNER)
(586) 779-6777
Entity
Organization
Contact information
Practice address
22855 KELLY RD, EASTPOINTE, MI 48021-2057
(586) 779-6777
(586) 779-0926
Mailing address
22855 KELLY RD, EASTPOINTE, MI 48021-2057
(586) 779-6777
(586) 779-0926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800328
BCBS
MI
Enumeration date
05/20/2008
Last updated
05/20/2008
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