Office 4 Pllc

NPI #1578045548 in Jackson, Michigan

Provider Information

NPI Number
1578045548
Entity Type
Organization
Organization Name
Office 4 Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 5, 2018
Last Updated
Nov 24, 2020

Practice Location

Address
2555 SPRING ARBOR RD
ZIP Code
49203-3601
Phone
(517) 787-8321

Authorized Official

Name
DR. RANDALL LOREN SHAW, DDS, MS.
Title
OWNER
Phone
(248) 931-1151

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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