Organization · Type 2 NPI
Independence Dental
Dental Clinic/Center · Fowlerville, MI
NPI number
1679212369
Active
Practice location
717 S Grand Ave
Fowlerville, MI 48836-7914
Mailing address
PO Box 158
Fowlerville, MI 48836-0158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1679212369
Independence Dental's National Provider Identifier is 1679212369, issued on Jun 1, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fowlerville, MI. The record was last updated on Jun 1, 2022.