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Organization
RAHAF KANAWATI DENTAL PC
Active
Organization
RAHAF KANAWATI DENTAL PC
Active
Other names
Portage Dental office
Organization subpart
No
Provider details
NPI number
Authorized official
RAHAF KANAWATI (OWNER)
(269) 276-6602
Entity
Organization
Contact information
Practice address
6505 CONSTITUTION BLVD STE B, PORTAGE, MI 49024-1605
(269) 276-6602
Mailing address
6505 CONSTITUTION BLVD STE B, PORTAGE, MI 49024-1605
(269) 276-6602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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