Organization
MARLETTE FAM DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL ANN PANKRATZ RN (CREDENTIAL OFFICER)
(989) 269-8401
Entity
Organization
Contact information
Practice address
3149 MAIN ST, MARLETTE, MI 48453-1255
(989) 635-7541
(989) 635-2414
Mailing address
3149 MAIN ST, MARLETTE, MI 48453-1255
(989) 635-7541
(989) 635-2414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014174
MI
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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