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A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental Laboratory |
292200000X |
| NPI Number | 1417179466 |
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| LBN Legal business name | DOCSMILE DENTAL CENTER | ||||||||||||||||
| Authorized official | TRACEY JOHNSON-ROBINSON - (ADMINISTRATOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/02/2007 | ||||||||||||||||
| Last updated | 10/07/2010 - About 16 years ago | ||||||||||||||||
| Identifiers |
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DOCSMILE DENTAL CENTER
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| PAVANI GAI 5757 WHITMORE LAKE ROAD 48307, MI |
| WILLIAM E NOWAK, DO 3990 EAST M72 ACME, MI |
| THEBUOSHON AMALATHASAN, MD 15855 19 MILE RD, CLINTON TWP, MI 48038, USA 15855 19 MILE RD, CLINTON TWP, MI 48038,, MI |
| KIMBERLY S JOHNSON, MD 1105 SIXTH STREET 49684 TRAVERSE CITY, MI (GRAND TRAVERSE), MI |
| SARAH L FRACALA 2399 WALTON BVLD ABURN HILLS, MI |
DOCSMILE DENTAL CENTER