Bright Side Dental-St. Clair Shores Pllc
NPI #1235497595 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1235497595
- Entity Type
- Organization
- Organization Name
- Bright Side Dental-St. Clair Shores Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 31245 HARPER AVE
- State
- Michigan
- ZIP Code
- 48082-1401
- Phone
- (586) 439-2940
Authorized Official
- Name
- DR. DEREK GRYTZELIUS, D.D.S.
- Title
- OWNER/DOCTOR
- Phone
- (586) 439-2940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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