Organization
FAMILY DENTISTRY AUVILLE M KRAUSE
Active
Other names
Family Dentistry & Denture Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SHEPPARD (OFFICE MANAGER)
(269) 343-6533
Entity
Organization
Contact information
Practice address
6016 LOVERS LN, PORTAGE, MI 49002-3050
(269) 343-6533
(269) 327-0406
Mailing address
6016 LOVERS LN, PORTAGE, MI 49002-3050
(269) 343-6533
(269) 327-0406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871782722
GENERAL DENTIST
MI
01
—
1891819579
GENERAL DENTIST
MI
Enumeration date
08/11/2020
Last updated
08/11/2020
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