Main Street Dentistry, PC

NPI #1316206113 in Yale, Michigan

Provider Information

NPI Number: 1316206113
Entity Type: Organization
Organization Name: Main Street Dentistry, PC
Primary Specialty: Dentist
Enumeration Date: May 14, 2012
Last Updated: Aug 3, 2012

Practice Location

Address: 210 S MAIN ST
City: Yale
State: Michigan
ZIP Code: 48097-3319
Phone: (810) 387-4746

Authorized Official

Name: DR. KEYNA LEE BEHNAN, DDS
Title: PRESIDENT
Phone: (810) 387-4746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist	122300000X	Primary

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