Organization
RAHAF KANAWATI DENTAL PC
Active
Other names
Portage Dental office
Organization subpart
No
Provider details
NPI number
Authorized official
RAHAF KANAWATI (OWNER)
(269) 276-6602
Entity
Organization
Contact information
Practice address
6505 CONSTITUTION BLVD STE B, PORTAGE, MI 49024-1605
(269) 276-6602
Mailing address
6505 CONSTITUTION BLVD STE B, PORTAGE, MI 49024-1605
(269) 276-6602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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