Organization
GENERAL DENTISTRY OF MICHIGAN 2 PLLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
9310 TELEGRAPH RD, TAYLOR, MI 48180-3362
(313) 523-4810
Mailing address
4874 MONTROSE AVE, OKEMOS, MI 48864-1618
(517) 210-0204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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