Lansing Ardent PLLC
Clinic/Center, Dental in East Lansing, MI. Organization (NPI-2).
NPI number1902522014
StatusActive
Last updated in NPPESNov 3, 2022
Details
- NPI
- 1902522014
- Entity type
- Organization (NPI-2)
- Legal business name
- Lansing Ardent PLLC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2022
- Certification date
- Nov 3, 2022
- Last updated
- Nov 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
515 E Grand River Ave Ste IEast Lansing, MI 48823-4499
Phone 517-977-0184
Mailing address
515 E Grand River Ave Ste IEast Lansing, MI 48823-4499
Authorized official
Beth Keith
Regional Manager
7346575259
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