Organization
GREAT LAKES FAMILY DENTAL GROUP-DEWITT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J. HART (CORPORATE MANAGER)
(810) 625-2860
Entity
Organization
Contact information
Practice address
13109 SCHAVEY RD, DEWITT, MI 48820-9015
(517) 669-2415
Mailing address
13109 SCHAVEY RD, DEWITT, MI 48820-9015
(517) 669-2415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/05/2008
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