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Dr. Mary Ann Bukowski, DDS
General Practice Dentistry in Portage, Michigan
NPI 1013065853

Mary Ann Bukowski is a General Practice Dentistry based in Portage, MI and is specialized in General Practice. Mary Ann Bukowski practices in Portage, MI and has the professional credentials of DDS. The NPI Number for Mary Ann Bukowski is 1013065853 and holds a License No. 2901011980 (Michigan).

The current practice location address for Mary Ann Bukowski is 1416 W Milham Ave, Portage, MI and can be reached out via phone at 269-381-0564 and via fax at 269-381-4965.

Location: 1416 W Milham Ave, Portage, MI, 49024-2245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013065853
Provider Name
Mary Ann Bukowski
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1416 W Milham Ave, Portage, MI, 49024-2245
Phone Number
269-381-0564
Fax Number
269-381-4965
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1416 W Milham Ave
City
Portage
State
Michigan
Zip
49024-2245
Phone Number
269-381-0564
Fax Number
269-381-4965
person
Provider Business Mailing Address Details
Address
1416 W Milham Ave
City
Portage
State
Michigan
Zip
49024-2245
Phone Number
269-381-0564
Fax Number
269-381-4965
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901011980 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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