St Johns Marsh Dental PC

NPI #1558530477 in Algonac, Michigan

Provider Information

NPI Number: 1558530477
Entity Type: Organization
Organization Name: St Johns Marsh Dental PC
Primary Specialty: Dentist
Enumeration Date: Feb 25, 2008
Last Updated: Feb 25, 2008

Practice Location

Address: 7213 DYKE RD
City: Algonac
State: Michigan
ZIP Code: 48001
Phone: (586) 716-4890

Authorized Official

Name: LORA LAZOVSKI, DDS
Title: VICE PRESIDENT
Phone: (586) 716-4890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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