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Organization
WEST WIND FAMILY &COSMETIC DENISTRY
Active
Organization
WEST WIND FAMILY &COSMETIC DENISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ROGERS SMITH D.D.S. (OWNER)
(269) 381-7770
Entity
Organization
Contact information
Practice address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
(269) 381-7770
(269) 381-7790
Mailing address
3262 OAKDALE, HICKORY CORNERS, MI 49060-9318
(269) 671-4432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012321
MI
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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