Orthodontic Specialists of Mid-Michigan, PC
NPI #1467667790 in Grand Ledge, Michigan
Provider Information
- NPI Number
- 1467667790
- Entity Type
- Organization
- Organization Name
- Orthodontic Specialists of Mid-Michigan, PC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- May 11, 2007
- Last Updated
- Aug 29, 2013
Practice Location
- Address
- 1040 CHARLEVOIX DRIVE
- Address 2
- STE, C
- City
- Grand Ledge
- State
- Michigan
- ZIP Code
- 48837
- Phone
- (517) 627-7600
Authorized Official
- Name
- JENNIFER HUDSON
- Title
- PRACTICE MANAGER
- Phone
- (517) 627-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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