Organization
PUTMAN DENTAL PLLC
Active
Other names
Pine River Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J PUTMAN DDS (MEMBER)
(989) 875-2888
Entity
Organization
Contact information
Practice address
610 N PINE RIVER ST, ITHACA, MI 48847
(989) 875-2888
Mailing address
610 N PINE RIVER ST, ITHACA, MI 48847
(419) 786-0749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.023756
OH
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
02/17/2023
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