Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Active
Parent organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Other names
Signature Smiles - Lathrup Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
18181 W 12 MILE RD STE 4, LATHRUP VILLAGE, MI 48076-2666
(248) 557-5756
Mailing address
18181 W 12 MILE RD STE 4, LATHRUP VILLAGE, MI 48076-2666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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