Individual
DR. JOHN H DEPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6121 S WESTNEDGE AVE, PORTAGE, MI 49002-2882
(269) 323-8016
(269) 323-8524
Mailing address
6121 S WESTNEDGE AVE, PORTAGE, MI 49002-2882
(269) 323-8016
(269) 323-8524
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901009877
MI
Other
Enumeration date
10/07/2005
Last updated
07/08/2007
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