Organization
LAKEWINDS DENTAL CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE ANNE CAITHAMER (FINANCIAL COORDINATOR)
(231) 845-7240
Entity
Organization
Contact information
Practice address
409 W LUDINGTON AVE STE 101, LUDINGTON, MI 49431-2377
(231) 845-7240
Mailing address
409 W LUDINGTON AVE STE 101, LUDINGTON, MI 49431-2377
(231) 845-7240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10255
MI
122300000X
Dentist
17339
MI
122300000X
Dentist
Primary
19317
MI
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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