Organization · Type 2 NPI
Grand Traverse Band of Ottawa and Chippewa Indians
Dental Clinic/Center · Peshawbestown, MI
NPI number
1508126517
Active
Practice location
2300 N Stallman Road
Peshawbestown, MI 49682
Fax (231) 534-7460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 261QD0000X (MI) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1508126517
Grand Traverse Band of Ottawa and Chippewa Indians's National Provider Identifier is 1508126517, issued on May 23, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Peshawbestown, MI. The record was last updated on Dec 4, 2013.