| Daniel S Maudlin Dds Pc | |
|
3060 W Centre Ave Portage MI 49024-4825 | |
| (269) 327-4473 | |
| (269) 327-1174 |
| Full Name | Daniel S Maudlin Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3060 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Daniel Sydney Maudlin (GENERAL DENTIST) |
| Authorized Official Contact | 2693274473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel S Maudlin Dds Pc 3060 W Centre Ave Portage MI 49024-4825 Ph: () - | Daniel S Maudlin Dds Pc 3060 W Centre Ave Portage MI 49024-4825 Ph: (269) 327-4473 |
| NPI Number | 1407070535 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407070535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10702 (Michigan) | Primary |
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