Organization
OGEMAW FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BACHELDER DDS (DENTIST)
(517) 898-7522
Entity
Organization
Contact information
Practice address
203 N 5TH ST, WEST BRANCH, MI 48661-1005
(989) 312-3110
Mailing address
203 N 5TH ST, WEST BRANCH, MI 48661-1005
(989) 312-3110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881328763
—
MI
Enumeration date
04/15/2024
Last updated
04/15/2024
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