Organization
DENTAL DREAMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LEE (ENROLLMENT COORDINATOR)
(312) 274-4526
Entity
Organization
Contact information
Practice address
6109 S CEDAR ST, LANSING, MI 48911-5714
(810) 789-5880
Mailing address
350 N CLARK ST STE 600, C/O KOS SERVICES, CHICAGO, IL 60654-4782
(312) 274-4526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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