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1184753691
ROBERT S PORTENGA
TRAVERSE CITY, MI
NPI
1184753691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MI 2901009781)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Dr. ROBERT S PORTENGA D.D.S., M.S.
432 MUNSON PL
TRAVERSE CITY, MI 49686-3098
Phone number: 231-947-3570
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Mailing Address
Dr. ROBERT S PORTENGA D.D.S., M.S.
432 MUNSON PL
TRAVERSE CITY, MI 49686-3098
Phone number: 231-947-3570
Copy
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