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Organization
MICHIGAN DENTAL SLEEP CENTER INC
Active
Organization
MICHIGAN DENTAL SLEEP CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD M WITKOW DDS (PRESIDENT)
(810) 659-1721
Entity
Organization
Contact information
Practice address
4279 W VIENNA RD, CLIO, MI 48420-9440
(810) 659-1721
(810) 659-0897
Mailing address
4279 W VIENNA RD, CLIO, MI 48420-9440
(810) 659-1721
(810) 659-0897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/17/2015
Last updated
04/25/2022
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