NPI 1073951547

D2 Dental of Michigan

Organisation Dentist Lansing, MI

Practice location

Address: 5601 S Cedar St, Lansing, MI 48911-3810
Phone: (708) 386-4800
Mailing address: 137 N Oak Park Ave Suite 302a, Oak Park, IL 60301-1344

Authorised official

Name: Boris Labinov
Title: Agent
Phone: (708) 386-4800

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1073951547
Entity type: Organization
NPI issued: 6 Jun 2013
Record last updated: 15 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.