Organization · Type 2 NPI
Grass Lake Dental Center PLLC
Dental Clinic/Center · Grass Lake, MI
NPI number
1386388114
Active
Practice location
11745 E Michigan Ave
Grass Lake, MI 49240-9219
Mailing address
2143 Orchardview
Ann Arbor, MI 48108-2766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Grass Lake
About NPI 1386388114
Grass Lake Dental Center PLLC's National Provider Identifier is 1386388114, issued on Apr 27, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grass Lake, MI. The record was last updated on Apr 27, 2022.