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NPI 1215716378 · on the registry since 2023
Practice
- Address
- 26210 Harper Ave
Saint Clair Shores, MI 48081 - Phone
- (888) 485-8636
- Organisation at this address
- Gentle Dental Shores Pllc
Lumen Pediatric Therapy, Llc
Lumen Pediatric Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 78
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan