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Organization

LIFETIME DENTAL CARE OF MICHIGAN, P.C.

Active
Parent organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Other names
Walker 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
348 WILSON AVE NW, WALKER, MI 49534-3555
(616) 317-2485
(616) 317-2406
Mailing address
348 WILSON AVE NW, WALKER, MI 49534-3555
(616) 317-2485
(616) 317-2406

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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