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

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone 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.