Pgs D-Provider Dentistry Pllc
NPI #1639791585 in Marysville, Michigan
Provider Information
- NPI Number
- 1639791585
- Entity Type
- Organization
- Organization Name
- Pgs D-Provider Dentistry Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PGS D-PROVIDER DENTISTRY PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 14, 2020
- Last Updated
- May 14, 2020
Practice Location
- Address
- 1616 GRATIOT BLVD
- City
- Marysville
- State
- Michigan
- ZIP Code
- 48040-1181
- Phone
- (586) 727-3815
Authorized Official
- Name
- SANDI BARNES
- Title
- OFFICE MANAGER
- Phone
- (586) 727-3815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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