Individual
DAMIEN BIZEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5200 S WESTNEDGE AVE, PORTAGE, MI 49002-0405
(269) 382-6656
Mailing address
5200 S WESTNEDGE AVE, PORTAGE, MI 49002-0405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600635
MI
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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