| Portage Pediatric Dentistry Plc | |
|
3020 Old Centre Rd Portage MI 49024-4883 | |
| (269) 323-8016 | |
| Not Available |
| Full Name | Portage Pediatric Dentistry Plc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3020 Old Centre Rd, Portage, Michigan |
| Authorized Official Name and Position | Carol Guevara (INSURANCE COORDINATOR) |
| Authorized Official Contact | 6162644709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Pediatric Dentistry Plc 3020 Old Centre Rd Portage MI 49024-4883 Ph: (269) 323-8016 | Portage Pediatric Dentistry Plc 3020 Old Centre Rd Portage MI 49024-4883 Ph: (269) 323-8016 |
| NPI Number | 1205693181 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205693181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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