LAKESIDE PEDIATRIC DENTAL SPECIALISTS is a pediatric dentistry dentist in Port Huron, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LAKESIDE PEDIATRIC DENTAL SPECIALISTS NPI is 1891194379. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1952 HOLLAND AVE
PORT HURON, MI
ZIP 48060-520
Phone: (810) 985-9660
Fax: (810) 985-9666
The provider's authorized official is Phillip Glenn Monroy .
The authorized official title is Owner and has the following contact phone number (810) 985-9660.
The enumeration date for this NPI number is 8/20/2014 and was last updated on 8/20/2014.