| Lenawee Dental Clinic Inc | |
|
128 S Broad St Adrian MI 49221-2723 | |
| (517) 266-0651 | |
| (517) 266-8476 |
| Full Name | Lenawee Dental Clinic Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 128 S Broad St, Adrian, Michigan |
| Authorized Official Name and Position | John Anthony Lark (PRESIDENT BOARD OF DIRECTORS) |
| Authorized Official Contact | 5172639022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lenawee Dental Clinic Inc 128 S Broad St Adrian MI 49221-2723 Ph: (517) 266-0651 | Lenawee Dental Clinic Inc 128 S Broad St Adrian MI 49221-2723 Ph: (517) 266-0651 |
| NPI Number | 1578786034 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578786034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18869 (Michigan) | Primary |
News Archive
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