| Birchwood Family Dental | |
|
4036 24th Ave Fort Gratiot MI 48059-3800 | |
| (810) 385-9766 | |
| (810) 385-4161 |
| Full Name | Birchwood Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4036 24th Ave, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Celeste R Cornell-valdes (OWNER) |
| Authorized Official Contact | 8103859766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchwood Family Dental 4036 24th Ave Fort Gratiot MI 48059-3800 Ph: (810) 385-9766 | Birchwood Family Dental 4036 24th Ave Fort Gratiot MI 48059-3800 Ph: (810) 385-9766 |
| NPI Number | 1528443363 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528443363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018276 (Michigan) | Primary |
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