Fortson Dentistry Lathrup North
NPI #1669973970 in Lathrup Village, Michigan
Provider Information
- NPI Number
- 1669973970
- Entity Type
- Organization
- Organization Name
- Fortson Dentistry Lathrup North
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 22, 2018
- Last Updated
- Feb 22, 2018
Practice Location
- Address
- 27445 SOUTHFIELD RD
- City
- Lathrup Village
- State
- Michigan
- ZIP Code
- 48076-3411
- Phone
- (248) 423-9000
Authorized Official
- Name
- JAMIE SOLI
- Title
- REGIONAL MANAGER
- Phone
- (248) 398-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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