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Organization

PORTNOY AND TU DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GIANH NGUYEN PORTNOY DDS (PRESIDENT)
(517) 349-3266
Entity
Organization

Contact information

Practice address
1738 HAMILTON RD, OKEMOS, MI 48864-1811
(517) 349-3266
(517) 381-2457
Mailing address
1738 HAMILTON RD, OKEMOS, MI 48864-1811
(517) 349-3266
(517) 381-2457

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018167
MI
1223G0001X
General Practice Dentistry
2901018350
MI

Other

Enumeration date
07/31/2006
Last updated
08/22/2020
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