Centre Dental Associates, P.c.

NPI 1063531572 - Dentist - 1223G0001X

NPI Details
NPI 1063531572
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN A. JOHN
Position PRESIDENT
Phone (269) 323-3128
Fax (269) 323-2005
Practice Location
621 W CENTRE AVE
PORTAGE MI, 49024-5307, US
Phone (269) 323-3128
Fax (269) 323-2005
Business Location
621 W CENTRE AVE
PORTAGE MI, 49024-5307, US
Phone (269) 323-3128
Fax (269) 323-2005
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 09572
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According to our database, Centre Dental Associates, P.c. NPI is 1063531572, taxonomy code is 1223G0001X and license number is 09572, license state is located at Michigan. Centre Dental Associates, P.c. physically located at 621 W Centre Ave, Portage MI, 49024-5307. NPI Number 1033115704 has the healthcare provider type.

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1063531572 NPI number is provided on an as is basis without warranty of any kind. 1063531572 is maintained by the National Plan & Provider Enumeration System. The contents of Centre Dental Associates, P.c. are for informational purposes only.