Oshtemo Family Dentistry, Pc | |
5917 Stadium Dr Kalamazoo MI 49009-3017 | |
(269) 372-1042 | |
(269) 372-9962 |
Full Name | Oshtemo Family Dentistry, Pc |
---|---|
Speciality | Dentist |
Location | 5917 Stadium Dr, Kalamazoo, Michigan |
Authorized Official Name and Position | Richard Kevin Bannow (PRESIDENT) |
Authorized Official Contact | 2693721042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oshtemo Family Dentistry, Pc 5917 Stadium Dr Kalamazoo MI 49009-3017 Ph: (269) 372-1042 | Oshtemo Family Dentistry, Pc 5917 Stadium Dr Kalamazoo MI 49009-3017 Ph: (269) 372-1042 |
NPI Number | 1053484253 |
---|---|
Provider Enumeration Date | 11/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053484253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901012099 (Michigan) | Primary |
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› Verified 9 days ago
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