Manistique Dental Center, P.c.

NPI #1093980955 in Manistique, Michigan

Provider Information

NPI Number: 1093980955
Entity Type: Organization
Organization Name: Manistique Dental Center, P.c.
Primary Specialty: Dentist
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 115 N LAKE ST LOWR LEVEL
City: Manistique
State: Michigan
ZIP Code: 49854-1234
Phone: (906) 341-6132

Authorized Official

Name: GREGORY DAVID LAFAYETTE, DDS
Title: PRESIDENT
Phone: (906) 341-6132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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