Centerline Denture Clinic

NPI #1598920597 in Center Line, Michigan

Provider Information

NPI Number: 1598920597
Entity Type: Organization
Organization Name: Centerline Denture Clinic
Primary Specialty: Dentist
Enumeration Date: Jul 20, 2008
Last Updated: Jul 20, 2008

Practice Location

Address: 24625 VAN DYKE AVE
City: Center Line
State: Michigan
ZIP Code: 48015-2303
Phone: (586) 756-5880

Authorized Official

Name: RAY ELLIOTT
Title: OFFICE MANAGER
Phone: (586) 756-5880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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