| NPI | 1548450240 |
|---|---|
| Doing Business As | COMMUNITY SHORES DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J SORTMAN President 231-865-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901018853) |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2014-12-17 |