Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Active
Other names
Brownstown Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
23450 ALLEN RD, WOODHAVEN, MI 48183-3376
(734) 479-1200
(734) 479-1277
Mailing address
23450 ALLEN RD, WOODHAVEN, MI 48183-3376
(734) 479-1200
(734) 479-1277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
01/23/2024
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