| Grass Lake Dental Center Pllc | |
|
11745 E Michigan Ave Grass Lake MI 49240-9219 | |
| (517) 522-5018 | |
| Not Available |
| Full Name | Grass Lake Dental Center Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11745 E Michigan Ave, Grass Lake, Michigan |
| Authorized Official Name and Position | Luciana Gabriela Castro (OWNER) |
| Authorized Official Contact | 7343550779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grass Lake Dental Center Pllc 2143 Orchardview Ann Arbor MI 48108-2766 Ph: () - | Grass Lake Dental Center Pllc 11745 E Michigan Ave Grass Lake MI 49240-9219 Ph: (517) 522-5018 |
| NPI Number | 1386388114 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386388114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Potocki Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12365 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-764-6283 |