| David J. Wadas Dds Pllc | |
|
636 E Milham Ave Portage MI 49002-1440 | |
| (269) 323-1802 | |
| (269) 323-1940 |
| Full Name | David J. Wadas Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 636 E Milham Ave, Portage, Michigan |
| Authorized Official Name and Position | David John Wadas (SOLE MEMBER) |
| Authorized Official Contact | 2693231802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Wadas Dds Pllc 636 E Milham Ave Portage MI 49002-1440 Ph: (269) 323-1802 | David J. Wadas Dds Pllc 636 E Milham Ave Portage MI 49002-1440 Ph: (269) 323-1802 |
| NPI Number | 1336274323 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336274323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901017839 (Michigan) | Primary |
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› Verified 9 days ago
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