Great Lakes Dental Services Pllc
NPI #1730641804 in Flint, Michigan
Provider Information
- NPI Number
- 1730641804
- Entity Type
- Organization
- Organization Name
- Great Lakes Dental Services Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 5, 2019
- Last Updated
- Apr 5, 2019
Practice Location
Authorized Official
- Name
- DR. RUDOLPH DELANO WHEATON, DDS
- Title
- DIRECTOR
- Phone
- (810) 308-5086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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