Organization
BOYNE LAKEVIEW DENTAL P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FLEMING (PRESIDENT)
(231) 582-7101
Entity
Organization
Contact information
Practice address
202 N LAKE ST, BOYNE CITY, MI 49712-1210
(231) 582-7101
Mailing address
202 N LAKE ST, BOYNE CITY, MI 49712-1210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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