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Mrs. Susan L Shore-vignola, DDS
General Practice Dentistry in Lake City, Michigan
NPI 1952394439

Susan L Shore-vignola is a General Practice Dentistry based in Lake City, MI and is specialized in General Practice. Susan L Shore-vignola practices in Lake City, MI and has the professional credentials of DDS. The NPI Number for Susan L Shore-vignola is 1952394439 and holds a License No. 2901014317 (Michigan).

The current practice location address for Susan L Shore-vignola is 213 S Canal St, Lake City, MI and can be reached out via phone at 231-839-2630 and via fax at 231-839-5751.

Location: 213 S Canal St, Lake City, MI, 49651-0719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952394439
Provider Name
Susan L Shore-vignola
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
213 S Canal St, Lake City, MI, 49651-0719
Phone Number
231-839-2630
Fax Number
231-839-5751
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4087824 05 MI
institution
Provider Business Practice Location Address Details
Address
213 S Canal St
City
Lake City
State
Michigan
Zip
49651-7929
Phone Number
231-839-2630
Fax Number
231-839-5751
person
Provider Business Mailing Address Details
Address
213 S Canal St
City
Lake City
State
Michigan
Zip
49651-7929
Phone Number
231-839-2630
Fax Number
231-839-5751
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901014317 (Michigan)
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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