Organization
BRIDGE STREET SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE LYN-IREY OWEN DDS (OWNER)
(517) 526-1234
Entity
Organization
Contact information
Practice address
119 E BRIDGE ST, PORTLAND, MI 48875-1434
(517) 647-4511
Mailing address
9645 TOWNER RD, PORTLAND, MI 48875-9481
(517) 526-1234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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