DCP OF MICHIGAN (LAKESIDE), P.C.

STERLING HEIGHTS, MI
NPI1962472373
Doing Business AsDENTALWORKS
Entity TypeOrganization
Authorized ContactCHARLES SMITH
Dentist/Owner
586-296-1943
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901015672)
Additional Taxonomies122300000X Dentist
1223E0200X Dentist, Endodontics
1223P0221X Dentist, Pediatric Dentistry
1223P0300X Dentist, Periodontics
1223P0700X Dentist, Prosthodontics
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2006-01-26
Last Update Date2016-12-09
Business Address
DCP OF MICHIGAN (LAKESIDE), P.C.
14100 LAKESIDE CIR
STERLING HEIGHTS, MI 48313-1322
Phone number: 586-566-9916
Mailing Address
DCP OF MICHIGAN (LAKESIDE), P.C.
PO BOX 860036
MINNEAPOLIS, MN 55486
Phone number: 216-584-1000