Johnson Family Dentistry | |
1617 E Milham Ave Portage MI 49002-3049 | |
(269) 381-7250 | |
(269) 381-7260 |
Full Name | Johnson Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 1617 E Milham Ave, Portage, Michigan |
Authorized Official Name and Position | Stacia Grzibowski (OFFICE MANAGER) |
Authorized Official Contact | 2693817250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Johnson Family Dentistry 1617 E Milham Ave Portage MI 49002-3049 Ph: (269) 381-7250 | Johnson Family Dentistry 1617 E Milham Ave Portage MI 49002-3049 Ph: (269) 381-7250 |
NPI Number | 1073124103 |
---|---|
Provider Enumeration Date | 08/12/2020 |
Last Update Date | 08/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073124103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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