| Pediatric Dental Services Munson | |
|
1465 E Parkdale Ave Manistee MI 49660-9709 | |
| (231) 689-7148 | |
| Not Available |
| Full Name | Pediatric Dental Services Munson |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1465 E Parkdale Ave, Manistee, Michigan |
| Authorized Official Name and Position | Julie Tatko (CEO) |
| Authorized Official Contact | 2317455009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Services Munson 1615 Michigan Ave Baldwin MI 49304-7984 Ph: (231) 745-2743 | Pediatric Dental Services Munson 1465 E Parkdale Ave Manistee MI 49660-9709 Ph: (231) 689-7148 |
| NPI Number | 1447993712 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447993712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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