Organization · Type 2 NPI
Michigan Institute of Advanced Dentistry P C
Dental Clinic/Center · Walled Lake, MI
NPI number
1528548419
Active
Practice location
1857 E West Maple Rd
Walled Lake, MI 48390-3821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2901014867 (MI) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Walled Lake
About NPI 1528548419
Michigan Institute of Advanced Dentistry P C's National Provider Identifier is 1528548419, issued on Aug 20, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Walled Lake, MI. The record was last updated on Aug 24, 2020.