Organization
JOHNSON FAMILY DENTISTRY
Active
Other names
johnson family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA GRZIBOWSKI (OFFICE MANAGER)
(269) 381-7250
Entity
Organization
Contact information
Practice address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
(269) 381-7250
(269) 381-7260
Mailing address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
(269) 381-7250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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