Lakeside Center for Implant Dentistry
NPI #1235567694 in Clinton Township, Michigan
Provider Information
- NPI Number
- 1235567694
- Entity Type
- Organization
- Organization Name
- Lakeside Center for Implant Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 23, 2013
- Last Updated
- Aug 4, 2014
Practice Location
- Address
- 15400 19 MILE RD
- Address 2
- SUITE 181
- City
- Clinton Township
- State
- Michigan
- ZIP Code
- 48038-6327
- Phone
- (586) 228-0909
Authorized Official
- Name
- ALAN F ROBINSON, D.D.S.
- Title
- DENTIST
- Phone
- (586) 228-0909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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