Central Michigan Family Dentistry, Pllc
NPI #1568109726 in Mount Pleasant, Michigan
Provider Information
- NPI Number
- 1568109726
- Entity Type
- Organization
- Organization Name
- Central Michigan Family Dentistry, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 18, 2022
- Last Updated
- May 25, 2022
Practice Location
- Address
- 1110 E BROOMFIELD ST
- City
- Mount Pleasant
- State
- Michigan
- ZIP Code
- 48858-4437
- Phone
- (989) 772-4581
Authorized Official
- Name
- DERREK HENRIE, DDS
- Title
- DENTIST
- Phone
- (989) 772-4581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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