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395 S Shore Dr Ste 102 Battle Creek MI 49014-5466 | |
| (269) 963-7861 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 395 S Shore Dr Ste 102, Battle Creek, Michigan |
| Authorized Official Name and Position | Catherine G Wilcox (OWNER) |
| Authorized Official Contact | 2699860549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
395 S Shore Dr Ste 102 Battle Creek MI 49014-5466 Ph: (269) 963-7861 | 395 S Shore Dr Ste 102 Battle Creek MI 49014-5466 Ph: (269) 963-7861 |
| NPI Number | 1073235339 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073235339 | NPI | - | NPPES |
| 2901017210 | Other | MI | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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