# CHESANING FAMILY DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821171992
- **Authorized official:** VICTORIA L HENIGE (MANGER)
- **Authorized official phone:** (989) 845-7242

## Contact information

- **Practice address:** 1109 W BROAD STREET, CHESANING, MI 48616
- **Practice address phone:** (989) 845-7242
- **Practice address fax:** (989) 845-7300
- **Mailing address:** 1109 W BROAD STREET, CHESANING, MI 48616
- **Mailing address phone:** (989) 845-7242
- **Mailing address fax:** (989) 845-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16049 | MI | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 07/14/2008