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Organization

EAST BAY FAMILY DENTISTRY

Active
Other names
Dr. Jan A Manning
Organization subpart
No

Provider details

NPI number
Authorized official
CONSTANCE RAE KUHLMAN (MANAGER)
(231) 946-4443
Entity
Organization

Contact information

Practice address
862 MUNSON AVE, TRAVERSE CITY, MI 49686-3602
(231) 946-4443
(231) 932-2260
Mailing address
862 MUNSON AVE, TRAVERSE CITY, MI 49686-3602
(231) 946-4443
(231) 932-2260

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/03/2022
Last updated
08/16/2022
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