| China Township Family Dentistry | |
|
5013 St Clair Hwy China Township MI 48054 | |
| (810) 329-6655 | |
| (810) 329-6687 |
| Full Name | China Township Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5013 St Clair Hwy, China Township, Michigan |
| Authorized Official Name and Position | Gordon Carl Charlton (PRESIDENT) |
| Authorized Official Contact | 8103296655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| China Township Family Dentistry 5013 St Clair Hwy China Township MI 48054 Ph: (810) 329-6655 | China Township Family Dentistry 5013 St Clair Hwy China Township MI 48054 Ph: (810) 329-6655 |
| NPI Number | 1417091141 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417091141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901016483 (Michigan) | Secondary |
| 122300000X | Dentist | 2901016966 (Michigan) | Primary |