Four Seasons Dental Associates Pllc

NPI #1821165499 in Lake City, Michigan

Provider Information

NPI Number: 1821165499
Entity Type: Organization
Organization Name: Four Seasons Dental Associates Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 301 MAIN ST
City: Lake City
State: Michigan
ZIP Code: 49651-0589
Phone: (231) 839-4673

Authorized Official

Name: DR. DENNIS E BUSHON, DDS
Title: MEMBER
Phone: (231) 839-4673

Specialties & Taxonomy Codes

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

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