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Port Pediatric Dentistry Pc
Pediatric Dentist in Holland, Michigan
NPI 1669080651

Port Pediatric Dentistry Pc is a Pediatric Dentist based in Holland, MI and is specialized in Pediatric Dentistry. Port Pediatric Dentistry Pc practices in Holland, MI. The NPI Number for Port Pediatric Dentistry Pc is 1669080651 and holds a License No. (Michigan).

The current practice location address for Port Pediatric Dentistry Pc is 291 W Lakewood Blvd, Holland, MI and can be reached out via phone at 616-392-1100 and via fax at 616-396-1117.

Location: 291 W Lakewood Blvd, Holland, MI, 49424-1969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669080651
Provider Name
Port Pediatric Dentistry Pc
Credential
Provider Entity Type
Organization
Address
291 W Lakewood Blvd, Holland, MI, 49424-1969
Phone Number
616-392-1100
Fax Number
616-396-1117
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
291 W Lakewood Blvd
City
Holland
State
Michigan
Zip
49424-1969
Phone Number
616-392-1100
Fax Number
616-396-1117
person
Provider Business Mailing Address Details
Address
291 W Lakewood Blvd
City
Holland
State
Michigan
Zip
49424-1969
Phone Number
616-392-1100
Fax Number
616-396-1117
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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