Organization
MICHIGAN RESTORATIVE INSTITUTE, PLLC
Active
Other names
Smile Zone Dental, New Era Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCHAAF (DIRECTOR OF OPERATIONS)
(269) 217-6442
Entity
Organization
Contact information
Practice address
4036 24TH AVE, FORT GRATIOT, MI 48059-3800
(810) 385-9766
(810) 990-8403
Mailing address
8096 WIMBLEDON DR, PORTAGE, MI 49024-7807
(269) 217-6442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
04/23/2021
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