Convenient St, PC
NPI #1407020670 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1407020670
- Entity Type
- Organization
- Organization Name
- Convenient St, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2008
- Last Updated
- Apr 17, 2008
Practice Location
- Address
- 52131 VAN DYKE AVE
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48316-3529
- Phone
- (586) 739-6363
Authorized Official
- Name
- MS. MARILYN MOSKAITIS
- Title
- OFFICE MANAGER
- Phone
- (248) 723-1450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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