| West Milham Dental Professionals Pllc | |
|
1416 W Milham Ave Portage MI 49024-2245 | |
| (269) 381-0564 | |
| (269) 381-4965 |
| Full Name | West Milham Dental Professionals Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1416 W Milham Ave, Portage, Michigan |
| Authorized Official Name and Position | Kelly M Motson (OWNER) |
| Authorized Official Contact | 2693810564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Milham Dental Professionals Pllc 1416 W Milham Ave Portage MI 49024-2245 Ph: (269) 381-0564 | West Milham Dental Professionals Pllc 1416 W Milham Ave Portage MI 49024-2245 Ph: (269) 381-0564 |
| NPI Number | 1912218264 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912218264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901019482 (Michigan) | Primary |
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