Grass Lake Dental Center Pllc
NPI #1386388114 in Grass Lake, Michigan
Provider Information
- NPI Number
- 1386388114
- Entity Type
- Organization
- Organization Name
- Grass Lake Dental Center Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 27, 2022
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 11745 E MICHIGAN AVE
- City
- Grass Lake
- State
- Michigan
- ZIP Code
- 49240-9219
- Phone
- (517) 522-5018
Authorized Official
- Name
- MRS. LUCIANA GABRIELA CASTRO, DDS
- Title
- OWNER
- Phone
- (734) 355-0779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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