Metodi C Pogoncheff DDS

NPI 1457484941 - Dentist - 1223G0001X

NPI Details
NPI 1457484941
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2628 LAKE LANSING RD
SUITE 101
LANSING MI, 48912-3668, US
Phone (517) 482-5636
Fax (517) 482-5637
Business Location
7645 BURT HWY
LANSING MI, 48917-9642, US
Phone (517) 627-9503
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901011340
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According to our database, Dr. Metodi C Pogoncheff DDS NPI is 1457484941, taxonomy code is 1223G0001X and license number is 2901011340, license state is located at Michigan. Metodi C Pogoncheff DDS physically located at 2628 Lake Lansing Rd, Lansing MI, 48912-3668. NPI Number Metodi C Pogoncheff DDS has the Individual type.

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1457484941 NPI number is provided on an as is basis without warranty of any kind. 1457484941 is maintained by the National Plan & Provider Enumeration System. The contents of Metodi C Pogoncheff DDS are for informational purposes only.