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Organization
NORTHERN MICHIGAN FAMILY DENTISTRY PLLC
Active
Organization
NORTHERN MICHIGAN FAMILY DENTISTRY PLLC
Active
Other names
Gaylord Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KOENIG (OFFICE MANAGER)
(989) 732-4199
Entity
Organization
Contact information
Practice address
1507 S OTSEGO AVE STE A, GAYLORD, MI 49735-9524
(989) 732-4199
(989) 731-6762
Mailing address
PO BOX 1725, GAYLORD, MI 49734-5725
(989) 732-4199
(989) 731-6762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16080
MI
Other
Enumeration date
04/02/2008
Last updated
03/19/2018
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