Michigan Restorative Institute, Pllc

NPI #1356811756 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1356811756
Entity Type: Organization
Organization Name: Michigan Restorative Institute, Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 28, 2018
Last Updated: Apr 23, 2021

Practice Location

Address: 4036 24TH AVE
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3800
Phone: (810) 385-9766

Authorized Official

Name: MICHAEL SCHAAF
Title: DIRECTOR OF OPERATIONS
Phone: (269) 217-6442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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