| Metodi C Pogoncheff Dds Pc | |
|
2628 Lake Lansing Rd Suite 101 Lansing MI 48912-3668 | |
| (517) 482-5636 | |
| (517) 482-5637 |
| Full Name | Metodi C Pogoncheff Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2628 Lake Lansing Rd, Lansing, Michigan |
| Authorized Official Name and Position | Metodi C Pogoncheff (PRESIDENT) |
| Authorized Official Contact | 5174825636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metodi C Pogoncheff Dds Pc 2628 Lake Lansing Rd Suite 101 Lansing MI 48912-3668 Ph: (517) 482-5636 | Metodi C Pogoncheff Dds Pc 2628 Lake Lansing Rd Suite 101 Lansing MI 48912-3668 Ph: (517) 482-5636 |
| NPI Number | 1912110396 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912110396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901011340 (Michigan) | Primary |
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