Lifetime Dental Care of Michigan, P.c.

NPI #1437809514 in Lathrup Village, Michigan

Provider Information

NPI Number
1437809514
Entity Type
Organization
Organization Name
Lifetime Dental Care of Michigan, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 24, 2022
Last Updated
Mar 24, 2022

Practice Location

Address
18181 W 12 MILE RD STE 1
ZIP Code
48076-2666
Phone
(248) 849-9310

Authorized Official

Name
HILLARY THULL
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8946

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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