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Organization
NORTHWOOD COSMETIC DENTAL GROUP, PC
Active
Organization
NORTHWOOD COSMETIC DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P KLYM DDS (OWNER DENTIST)
(231) 947-7202
Entity
Organization
Contact information
Practice address
10748 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-5550
(231) 947-7202
(231) 933-3401
Mailing address
10748 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-5550
(231) 947-7202
(231) 933-3401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016991
MI
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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