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Lakeside Pediatric Dental Specialists
Pediatric Dentist in Port Huron, Michigan
NPI 1891194379

Lakeside Pediatric Dental Specialists is a Pediatric Dentist based in Port Huron, MI and is specialized in Pediatric Dentistry. Lakeside Pediatric Dental Specialists practices in Port Huron, MI. The NPI Number for Lakeside Pediatric Dental Specialists is 1891194379 and holds a License No. 2901018671 (Michigan).

The current practice location address for Lakeside Pediatric Dental Specialists is 1952 Holland Ave, Port Huron, MI and can be reached out via phone at 810-985-9660 and via fax at 810-985-9666.

Location: 1952 Holland Ave, Port Huron, MI, 48060-1520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891194379
Provider Name
Lakeside Pediatric Dental Specialists
Credential
Provider Entity Type
Organization
Address
1952 Holland Ave, Port Huron, MI, 48060-1520
Phone Number
810-985-9660
Fax Number
810-985-9666
Provider Enumeration Date
08/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1952 Holland Ave
City
Port Huron
State
Michigan
Zip
48060-1520
Phone Number
810-985-9660
Fax Number
810-985-9666
person
Provider Business Mailing Address Details
Address
1952 Holland Ave
City
Port Huron
State
Michigan
Zip
48060-1520
Phone Number
810-985-9660
Fax Number
810-985-9666
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901018671 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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