Organization
GRACE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETTY LEE NGUYEN DDS (DENTIST OWNER)
(248) 588-8966
Entity
Organization
Contact information
Practice address
30825 JOHN R RD, MADISON HEIGHTS, MI 48071
(248) 588-8966
(248) 577-0073
Mailing address
30825 JOHN R RD, MADISON HEIGHTS, MI 48071
(248) 588-8966
(248) 577-0073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017954
MI
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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