Pro Dental Mi 1 Pc | |
3130 S Westnedge Ave Kalamazoo MI 49008-4927 | |
(269) 459-9200 | |
(269) 459-9195 |
Full Name | Pro Dental Mi 1 Pc |
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Speciality | Dentist - General Practice |
Location | 3130 S Westnedge Ave, Kalamazoo, Michigan |
Authorized Official Name and Position | Simone Wilson-adeleke (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 7327318398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pro Dental Mi 1 Pc 10 Woodbridge Center Dr Ste 520 Woodbridge NJ 07095-1152 Ph: (732) 731-8398 | Pro Dental Mi 1 Pc 3130 S Westnedge Ave Kalamazoo MI 49008-4927 Ph: (269) 459-9200 |
NPI Number | 1164259438 |
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Provider Enumeration Date | 09/19/2024 |
Last Update Date | 09/19/2024 |
Identifier | Type | State | Issuer |
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1164259438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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