Organization
SHELBY GRACE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMELIA PETRISOR DDS (OWNER)
(586) 873-6589
Entity
Organization
Contact information
Practice address
47100 SCHOENHERR RD STE A, SHELBY TOWNSHIP, MI 48315-4714
(586) 566-8338
Mailing address
4872 ALTON DR, TROY, MI 48085-5007
(586) 873-6589
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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