Organization · Type 2 NPI
Portage Northern Dental
Dental Clinic/Center · Portage, MI
NPI number
1295486512
Active
Practice location
1220 W Milham Ave
Portage, MI 49024-1206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1295486512
Portage Northern Dental's National Provider Identifier is 1295486512, issued on Jan 18, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portage, MI. The record was last updated on Jan 18, 2022.