Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Active
Parent organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Other names
Meadow Creek Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
2887 10 MILE RD NE, ROCKFORD, MI 49341-9100
(616) 433-2250
(616) 433-2252
Mailing address
2887 10 MILE RD NE, ROCKFORD, MI 49341-9100
(616) 433-2250
(616) 433-2252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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