| Kwong Orthodontics, Pc | |
|
6121 S Westnedge Ave Portage MI 49002-2882 | |
| (269) 366-0882 | |
| Not Available |
| Full Name | Kwong Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6121 S Westnedge Ave, Portage, Michigan |
| Authorized Official Name and Position | Thomas Kwong (OWNER) |
| Authorized Official Contact | 2693660882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwong Orthodontics, Pc 6121 S Westnedge Ave Portage MI 49002-2882 Ph: () - | Kwong Orthodontics, Pc 6121 S Westnedge Ave Portage MI 49002-2882 Ph: (269) 366-0882 |
| NPI Number | 1669897807 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 02/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669897807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2901020356 (Michigan) | Primary |
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