| West Wind Family &cosmetic Denistry | |
|
1617 E Milham Ave Portage MI 49002-3049 | |
| (269) 381-7770 | |
| (269) 381-7790 |
| Full Name | West Wind Family &cosmetic Denistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1617 E Milham Ave, Portage, Michigan |
| Authorized Official Name and Position | Gregory Rogers Smith (OWNER) |
| Authorized Official Contact | 2693817770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Wind Family &cosmetic Denistry 3262 Oakdale Hickory Corners MI 49060-9318 Ph: (269) 671-4432 | West Wind Family &cosmetic Denistry 1617 E Milham Ave Portage MI 49002-3049 Ph: (269) 381-7770 |
| NPI Number | 1164642906 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164642906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012321 (Michigan) | Primary |
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