Lifetime Dental Care of Michigan, P.c.

NPI #1720862253 in Rockford, Michigan

Provider Information

NPI Number: 1720862253
Entity Type: Organization
Organization Name: Lifetime Dental Care of Michigan, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 24, 2023
Last Updated: Aug 24, 2023

Practice Location

Address: 2887 10 MILE RD NE
City: Rockford
State: Michigan
ZIP Code: 49341-9100
Phone: (616) 433-2250

Authorized Official

Name: BELINDA HUERTA
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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