Great Lakes Family Dental Group - Tecumseh PC

NPI #1447342589 in Tecumseh, Michigan

Provider Information

NPI Number: 1447342589
Entity Type: Organization
Organization Name: Great Lakes Family Dental Group - Tecumseh PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3085 W RUSSELL RD
City: Tecumseh
State: Michigan
ZIP Code: 49286
Phone: (517) 423-2135

Authorized Official

Name: MRS. PATRICIA J HART
Title: GENERAL MANAGER
Phone: (810) 238-6260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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