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131 Columbia Ave E Ste 210 Battle Creek MI 49015-3761 | |
| (269) 963-7767 | |
| (269) 963-4380 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 Columbia Ave E Ste 210, Battle Creek, Michigan |
| Authorized Official Name and Position | Tara Leavell (OFFICE MANAGER) |
| Authorized Official Contact | 2699637767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
131 Columbia Ave E Ste 210 Battle Creek MI 49015-3761 Ph: (269) 963-7767 | 131 Columbia Ave E Ste 210 Battle Creek MI 49015-3761 Ph: (269) 963-7767 |
| NPI Number | 1659885242 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659885242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 016741 (Michigan) | Primary |
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