Organization
NORTHERN MICHIGAN FAMILY DENTISTRY PLLC
Active
Other names
Gaylord Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KOENIG (OFFICE MANAGER)
(989) 732-4199
Entity
Organization
Contact information
Practice address
1507 S OTSEGO AVE STE A, GAYLORD, MI 49735-9524
(989) 732-4199
(989) 731-6762
Mailing address
PO BOX 1725, GAYLORD, MI 49734-5725
(989) 732-4199
(989) 731-6762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16080
MI
Other
Enumeration date
04/02/2008
Last updated
03/19/2018
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