| Shelby Grace Dental Pllc | |
|
47100 Schoenherr Rd Ste A Shelby Township MI 48315-4714 | |
| (586) 566-8338 | |
| Not Available |
| Full Name | Shelby Grace Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 47100 Schoenherr Rd Ste A, Shelby Township, Michigan |
| Authorized Official Name and Position | Camelia Petrisor (OWNER) |
| Authorized Official Contact | 5868736589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Grace Dental Pllc 4872 Alton Dr Troy MI 48085-5007 Ph: (586) 873-6589 | Shelby Grace Dental Pllc 47100 Schoenherr Rd Ste A Shelby Township MI 48315-4714 Ph: (586) 566-8338 |
| NPI Number | 1841086584 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 04/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841086584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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