Organization · Type 2 NPI

Great Lakes Dentistry Chesterfield

Dental Clinic/Center · Chesterfield, MI

NPI number 1073265542 Active

Practice location

34301 23 Mile Rd Ste 140A
Chesterfield, MI 48047-4432

Mailing address

73501 Windmill Dr
Bruce Township, MI 48065-3159

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1073265542

Great Lakes Dentistry Chesterfield's National Provider Identifier is 1073265542, issued on Jan 25, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chesterfield, MI. The record was last updated on Jan 25, 2022.