| Johnson Family Dentistry | |
|
1617 E Milham Ave Portage MI 49002-3049 | |
| (269) 381-7250 | |
| (269) 381-7260 |
| Full Name | Johnson Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1617 E Milham Ave, Portage, Michigan |
| Authorized Official Name and Position | Stacia Grzibowski (OFFICE MANAGER) |
| Authorized Official Contact | 2693817250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Family Dentistry 1617 E Milham Ave Portage MI 49002-3049 Ph: (269) 381-7250 | Johnson Family Dentistry 1617 E Milham Ave Portage MI 49002-3049 Ph: (269) 381-7250 |
| NPI Number | 1073124103 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073124103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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