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Organization

GREAT LAKES FAMILY DENTAL GROUP SAGINAW, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA J. HART (CORPORATE MANAGER)
(810) 625-2860
Entity
Organization

Contact information

Practice address
427 N. MICHIGAN AVENUE, SAGINAW, MI 48602
(989) 755-0991
(989) 755-0001
Mailing address
G3222 BEECHER RD, FLINT, MI 48532-3614
(810) 230-3245
(810) 230-3229

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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