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1134117807
JOHN H DEPPEN
PORTAGE, MI
NPI
1134117807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: MI 2901009877)
Enumeration Date
2005-10-07
Last Update Date
2007-07-08
Business Address
Dr. JOHN H DEPPEN DDS
6121 S WESTNEDGE AVE
PORTAGE, MI 49002-2882
Phone number: 269-323-8016
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Mailing Address
Dr. JOHN H DEPPEN DDS
6121 S WESTNEDGE AVE
PORTAGE, MI 49002-2882
Phone number: 269-323-8016
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