Provider First Line Business Practice Location Address:
3434 M-119
Provider Second Line Business Practice Location Address:
SUITE B MICHIGAN COMMUNITY DENTAL CLINICS INC
Provider Business Practice Location Address City Name:
HARBOR SPINGS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-348-3970
Provider Business Practice Location Address Fax Number:
231-348-3946
Provider Enumeration Date:
07/12/2006