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Portage Northern Dental
Dental Clinic/Center in Portage, Michigan
NPI 1295486512

Portage Northern Dental is a Dental Clinic/Center based in Portage, MI and is specialized in Dental. Portage Northern Dental practices in Portage, MI. The NPI Number for Portage Northern Dental is 1295486512 and holds a License No. (Michigan).

The current practice location address for Portage Northern Dental is 1220 W Milham Ave, Portage, MI and can be reached out via phone at 269-382-5040.

Location: 1220 W Milham Ave, Portage, MI, 49024-1206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295486512
Provider Name
Portage Northern Dental
Credential
Provider Entity Type
Organization
Address
1220 W Milham Ave, Portage, MI, 49024-1206
Phone Number
269-382-5040
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1220 W Milham Ave
City
Portage
State
Michigan
Zip
49024-1206
Phone Number
269-382-5040
Fax Number
person
Provider Business Mailing Address Details
Address
1220 W Milham Ave
City
Portage
State
Michigan
Zip
49024-1206
Phone Number
269-382-5040
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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