| 42 North Dental Care Of Michigan, Pllc | |
|
3085 W Russell Rd Tecumseh MI 49286-1735 | |
| (517) 423-2135 | |
| Not Available |
| Full Name | 42 North Dental Care Of Michigan, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3085 W Russell Rd, Tecumseh, Michigan |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 42 North Dental Care Of Michigan, Pllc 3085 W Russell Rd Tecumseh MI 49286-1735 Ph: () - | 42 North Dental Care Of Michigan, Pllc 3085 W Russell Rd Tecumseh MI 49286-1735 Ph: (517) 423-2135 |
| NPI Number | 1033859939 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033859939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Great Lakes Family Dental Group - Tecumseh Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3085 W Russell Rd, Tecumseh, MI 49286 Phone: 517-423-2135 Fax: 517-423-0009 | |
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