| Lakshore Family Dental | |
|
5638 Cleveland Ave Stevensville MI 49127-9696 | |
| (269) 429-4661 | |
| (269) 429-4486 |
| Full Name | Lakshore Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 5638 Cleveland Ave, Stevensville, Michigan |
| Authorized Official Name and Position | Andrew Bargren (OWNER) |
| Authorized Official Contact | 2694294661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakshore Family Dental 5638 Cleveland Ave Stevensville MI 49127-9696 Ph: (269) 429-4661 | Lakshore Family Dental 5638 Cleveland Ave Stevensville MI 49127-9696 Ph: (269) 429-4661 |
| NPI Number | 1356614838 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356614838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019195 (Michigan) | Primary |
James R Mularczyk Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5909 Red Arrow Hwy, Stevensville, MI 49127 Phone: 269-429-6001 | |
Henry D Lyon Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2454 W Glenlord Rd, Stevensville, MI 49127 Phone: 269-428-2222 |