Organization
GREAT LAKES FAMILY DENTAL GROUP - GRAND BLANC
Active
Other names
Great Lakes Family Dental Group - Flint
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE PATRICK GRAY DDS (OWNER/PRESIDENT)
(810) 732-0200
Entity
Organization
Contact information
Practice address
8542 HOLLY ROAD, GRAND BLANC, MI 48439
(810) 603-7887
(810) 720-1306
Mailing address
8542 HOLLY ROAD, GRAND BLANC, MI 48439
(810) 603-7887
(810) 720-1306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012257
MI
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
12/11/2012
Last updated
06/13/2018
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