Organization
EDMORE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRKWOOD EARL FABER (MANAGING PARTNER)
(989) 427-3430
Entity
Organization
Contact information
Practice address
1315 E HOWARD CITY EDMORE RD, EDMORE, MI 48829-9737
(989) 427-3430
Mailing address
1315 E HOWARD CITY EDMORE RD, EDMORE, MI 48829-9737
(989) 427-3430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/19/2010
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