# OSHTEMO FAMILY DENTISTRY PLC

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

## Provider details

- **NPI number:** 1952854739
- **Authorized official:** DR. CATHERINE E NELSON DDS (TRANSITION CONSULTANT)
- **Authorized official phone:** (269) 372-1042

## Contact information

- **Practice address:** 5917 STADIUM DR, KALAMAZOO, MI 49009-3017
- **Practice address phone:** (269) 372-1042
- **Mailing address:** 5917 STADIUM DR, KALAMAZOO, MI 49009-3017
- **Mailing address phone:** (269) 372-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 11/15/2016