Organization
OTSEGO FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M HIMMEL DDS (MEMBER)
(269) 364-5137
Entity
Organization
Contact information
Practice address
338 W ALLEGAN ST, OTSEGO, MI 49078-1012
(269) 694-2074
Mailing address
338 W ALLEGAN ST, OTSEGO, MI 49078-1012
(269) 694-2074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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