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Organization

ENGSTROM FAMILY DENTAL, PLLC

Active
Other names
Engstrom Family Dental, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS A ENGSTROM DDS (LLC MEMBER)
(517) 881-4069
Entity
Organization

Contact information

Practice address
1625 RAMBLEWOOD DR STE 2, EAST LANSING, MI 48823-6367
(517) 332-0663
(517) 332-2240
Mailing address
1625 RAMBLEWOOD DR STE 2, EAST LANSING, MI 48823-6367
(517) 332-0663
(517) 332-2240

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003297359
TYPE 1 NPI
MI
01
1750455515
TYPE 1 NPI
MI
Enumeration date
01/07/2020
Last updated
01/07/2020
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