PORTAGE FAMILY DENTISTRY PLLC

PORTAGE, MI
NPI1407493760
Entity TypeOrganization
Authorized ContactALLISON T CRUTCHFIELD
Member
269-830-6609
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-12-05
Last Update Date2024-11-20
Business Address
PORTAGE FAMILY DENTISTRY PLLC
1112 E CENTRE AVE
PORTAGE, MI 49002-5575
Phone number: 269-327-3005
Mailing Address
PORTAGE FAMILY DENTISTRY PLLC
1112 E CENTRE AVE
PORTAGE, MI 49002-5575
Phone number: 269-327-3005
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