| Wallace Colvin Pc | |
|
69 Southbound Gratiot Ave Lowr Mount Clemens MI 48043-7600 | |
| (586) 783-7000 | |
| (586) 783-7003 |
| Full Name | Wallace Colvin Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 69 Southbound Gratiot Ave Lowr, Mount Clemens, Michigan |
| Authorized Official Name and Position | Wallace S Colvin (DENTIST) |
| Authorized Official Contact | 5867837000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Colvin Pc 69 Southbound Gratiot Ave Lowr Mount Clemens MI 48043-7600 Ph: (586) 783-7000 | Wallace Colvin Pc 69 Southbound Gratiot Ave Lowr Mount Clemens MI 48043-7600 Ph: (586) 783-7000 |
| NPI Number | 1952853103 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952853103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Riverside Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 S Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-468-0983 Fax: 586-468-9661 | |
Gary Gilbert Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Crocker Blvd, Mount Clemens, MI 48043 Phone: 586-469-6336 Fax: 586-469-1535 | |
Patricia Burness Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1448 S Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-954-3840 | |
The Dental Group,p.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Southbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-465-6503 |