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1295486512
PORTAGE NORTHERN DENTAL
PORTAGE, MI
NPI
1295486512
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Entity Type
Organization
Authorized Contact
RENEE HEISE
Insurance Specialist
231-246-2204
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-01-18
Last Update Date
2022-01-18
Business Address
PORTAGE NORTHERN DENTAL
1220 W MILHAM AVE
PORTAGE, MI 49024-1206
Phone number: 269-382-5040
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Mailing Address
PORTAGE NORTHERN DENTAL
1220 W MILHAM AVE
PORTAGE, MI 49024-1206
Phone number: 269-382-5040
Copy
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