Lakeside Pediatric Dental Specialists
Pediatric Dentist in Port Huron, MI(View on Map)
Legal Business Name
Lakeside Pediatric Dental Specialists
NPI Number
1891194379
NPI Type
Organization
Enumeration Date
08/20/2014
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
2901018671
Contact
Information
Purpose
Mailing
Location
Address
1952 HOLLAND AVE
1952 HOLLAND AVE
City
Port Huron
Port Huron
State
MI
MI
Postal Code
48060-1520
48060-1520
Country
US
US
Telephone Number
(810) 985-9660
(810) 985-9660
Authorized Official
Name
Dr. Phillip Monroy
Title or Position
OWNER
Telephone Number
(810) 985-9660
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/20/2014
Provider Address
Other Pediatric Dentists in Port Huron, Michigan: