EAST LAKE DENTAL PLLC

SOUTH LYON, MI
NPI1104401645
Entity TypeOrganization
Authorized ContactWILLIAM RYAN JENKINS
Owner Dentist
248-321-9485
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-03-16
Last Update Date2021-03-16
Business Address
EAST LAKE DENTAL PLLC
201 S LAFAYETTE ST
SOUTH LYON, MI 48178-1405
Phone number: 248-437-4119
Mailing Address
EAST LAKE DENTAL PLLC
3542 OAKSHIRE AVE
BERKLEY, MI 48072-3411
Phone number: 248-321-9485
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