Rahaf Kanawati Dental Pc | |
6505 Constitution Blvd Ste B Portage MI 49024-1605 | |
(269) 276-6602 | |
Not Available |
Full Name | Rahaf Kanawati Dental Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 6505 Constitution Blvd Ste B, Portage, Michigan |
Authorized Official Name and Position | Rahaf Kanawati (OWNER) |
Authorized Official Contact | 2692766602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rahaf Kanawati Dental Pc 6505 Constitution Blvd Ste B Portage MI 49024-1605 Ph: (269) 276-6602 | Rahaf Kanawati Dental Pc 6505 Constitution Blvd Ste B Portage MI 49024-1605 Ph: (269) 276-6602 |
NPI Number | 1336901826 |
---|---|
Provider Enumeration Date | 01/29/2024 |
Last Update Date | 01/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336901826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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