SQUARE LAKE FAMILY DENTISTRY

TROY, MI
NPI1558442202
Entity TypeOrganization
Authorized ContactPRITIDA TUSHAR PATEL
Secretary
248-879-5858
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901015961)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MI  2901015929)
Enumeration Date2006-10-18
Last Update Date2008-01-31
Business Address
SQUARE LAKE FAMILY DENTISTRY
6053 ROCHESTER RD
TROY, MI 48085-1303
Phone number: 248-879-5858
Mailing Address
SQUARE LAKE FAMILY DENTISTRY
6053 ROCHESTER RD
TROY, MI 48085-1303
Phone number: 248-879-5858