Michigan Institute of Advanced Dentistry P C
NPI #1528548419 in Walled Lake, Michigan
Provider Information
- NPI Number
- 1528548419
- Entity Type
- Organization
- Organization Name
- Michigan Institute of Advanced Dentistry P C
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 20, 2018
- Last Updated
- Aug 24, 2020
Practice Location
- Address
- 1857 E WEST MAPLE RD
- City
- Walled Lake
- State
- Michigan
- ZIP Code
- 48390-3821
- Phone
- (248) 960-4848
Authorized Official
- Name
- DR. BRUCE EDWARD HULSCHER, DDS
- Title
- DDS , PRESIDENT
- Phone
- (248) 960-4848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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