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East Lake Dental Pllc
General Practice Dentistry in South Lyon, Michigan
NPI 1104401645

East Lake Dental Pllc is a General Practice Dentistry based in Berkley, MI and is specialized in General Practice. East Lake Dental Pllc practices in South Lyon, MI. The NPI Number for East Lake Dental Pllc is 1104401645 and holds a License No. (Michigan).

The current practice location address for East Lake Dental Pllc is 201 S Lafayette St, South Lyon, MI and can be reached out via phone at 248-437-4119.

Location: 201 S Lafayette St, South Lyon, MI, 48072-3411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104401645
Provider Name
East Lake Dental Pllc
Credential
Provider Entity Type
Organization
Address
201 S Lafayette St, South Lyon, MI, 48072-3411
Phone Number
248-437-4119
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 S Lafayette St
City
South Lyon
State
Michigan
Zip
48178-1405
Phone Number
248-437-4119
Fax Number
person
Provider Business Mailing Address Details
Address
201 S Lafayette St
City
South Lyon
State
Michigan
Zip
48178-1405
Phone Number
248-437-4119
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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