Portage Pediatric Dentistry Plc | |
3020 Old Centre Rd Portage MI 49024-4883 | |
(269) 323-8016 | |
Not Available |
Full Name | Portage Pediatric Dentistry Plc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3020 Old Centre Rd, Portage, Michigan |
Authorized Official Name and Position | Carol Guevara (INSURANCE COORDINATOR) |
Authorized Official Contact | 6162644709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Portage Pediatric Dentistry Plc 3020 Old Centre Rd Portage MI 49024-4883 Ph: (269) 323-8016 | Portage Pediatric Dentistry Plc 3020 Old Centre Rd Portage MI 49024-4883 Ph: (269) 323-8016 |
NPI Number | 1205693181 |
---|---|
Provider Enumeration Date | 03/06/2024 |
Last Update Date | 03/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205693181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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› Verified 9 days ago
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