Bright Side Dental-st. Clair Shores Pllc | |
31245 Harper Ave Saint Clair Shores MI 48082-1401 | |
(586) 439-2940 | |
Not Available |
Full Name | Bright Side Dental-st. Clair Shores Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 31245 Harper Ave, Saint Clair Shores, Michigan |
Authorized Official Name and Position | Derek Grytzelius (OWNER/DOCTOR) |
Authorized Official Contact | 5864392940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Side Dental-st. Clair Shores Pllc 31245 Harper Ave Saint Clair Shores MI 48082-1401 Ph: (586) 439-2940 | Bright Side Dental-st. Clair Shores Pllc 31245 Harper Ave Saint Clair Shores MI 48082-1401 Ph: (586) 439-2940 |
NPI Number | 1235497595 |
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Provider Enumeration Date | 04/24/2012 |
Last Update Date | 04/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235497595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901018970 (Michigan) | Primary |
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› Verified 9 days ago
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