Organization
NORTHSHORE DENTAL ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MATHESON BUCHANAN DDS (OFFICER)
(231) 744-6100
Entity
Organization
Contact information
Practice address
1179 WHITEHALL RD, NORTH MUSKEGON, MI 49445-2497
(231) 744-6100
(231) 744-6099
Mailing address
1179 WHITEHALL RD, NORTH MUSKEGON, MI 49445-2497
(231) 744-6100
(231) 744-6099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014037
MI
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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