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Organization

NORTHSHORE DENTAL ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN PAYNE (BUSINESS ASSISTANT)
(231) 744-6100
Entity
Organization

Contact information

Practice address
1179 WHITEHALL ROAD, SUITE A, MUSKEGON, MI 49445
(231) 744-6100
(231) 744-6099
Mailing address
1179 WHITEHALL ROAD, SUITE A, MUSKEGON, MI 49445
(231) 744-6100
(231) 744-6099

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/29/2017
Last updated
09/29/2017
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