Organization
SAMANTHA KLIPP DDS PLC
Active
Other names
Lakeside Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VASANTH KRISHNASWAMI (OFFICE MANAGE)
(734) 223-7586
Entity
Organization
Contact information
Practice address
526 N MONROE ST, MONROE, MI 48162-2933
(734) 241-5254
(734) 241-1358
Mailing address
546 LARKSPUR ST, ANN ARBOR, MI 48105-1163
(734) 277-7650
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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