Organization
SHORES DENTAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA LYNN KALICH (MANAGER)
(586) 293-1530
Entity
Organization
Contact information
Practice address
31549 HARPER AVE, ST CLAIR SHORES, MI 48082-2455
(586) 293-1530
(586) 293-1537
Mailing address
31549 HARPER AVE, ST CLAIR SHORES, MI 48082-2455
(586) 293-1530
(586) 293-1537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011906
MI
122300000X
Dentist
2901015365
MI
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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