Organization
GREAT LAKES FAMILY DENTAL GROUP-CHARLOTTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELDA PALSHAN (ASSISTANT CORPORATE MANAGER)
(810) 814-0204
Entity
Organization
Contact information
Practice address
917 W LAWRENCE AVE, CHARLOTTE, MI 48813-1309
(517) 543-1840
Mailing address
917 W LAWRENCE AVE, CHARLOTTE, MI 48813-1309
(517) 543-1840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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