Lifetime Dental Care of Michigan, PC
NPI #1316305063 in Belleville, Michigan
Provider Information
- NPI Number
- 1316305063
- Entity Type
- Organization
- Organization Name
- Lifetime Dental Care of Michigan, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFETIME DENTAL CARE OF MICHIGAN, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 9, 2016
- Last Updated
- Feb 29, 2016
Practice Location
- Address
- 6127 RAWSONVILLE RD
- Address 2
- SUITE 118
- City
- Belleville
- State
- Michigan
- ZIP Code
- 48111-2546
- Phone
- (734) 720-9827
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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