| Lifetime Dental Care Of Michigan, P.c. | |
|
900 52nd St Sw Wyoming MI 49509-9725 | |
| (616) 531-6240 | |
| Not Available |
| Full Name | Lifetime Dental Care Of Michigan, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 52nd St Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Michigan, P.c. 900 52nd St Sw Wyoming MI 49509-9725 Ph: () - | Lifetime Dental Care Of Michigan, P.c. 900 52nd St Sw Wyoming MI 49509-9725 Ph: (616) 531-6240 |
| NPI Number | 1841942331 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841942331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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