Justin Edward Otten D.D.S.

NPI 1659419273 - Dentist - 1223G0001X

NPI Details
NPI 1659419273
Gender Male
Enumeration Date 02/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2255 LEE ST SW
WYOMING MI, 49519-1670, US
Phone (616) 532-0501
Fax (616) 532-0501
Business Location
2255 LEE ST SW
WYOMING MI, 49519-1670, US
Phone (616) 532-0501
Fax (616) 532-0501
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901012543
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According to our database, Dr. Justin Edward Otten D.D.S. NPI is 1659419273, taxonomy code is 1223G0001X and license number is 2901012543, license state is located at Michigan. Justin Edward Otten D.D.S. physically located at 2255 Lee St Sw, Wyoming MI, 49519-1670. NPI Number Justin Edward Otten D.D.S. has the Individual type.

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1659419273 NPI number is provided on an as is basis without warranty of any kind. 1659419273 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Edward Otten D.D.S. are for informational purposes only.