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Organization

NORTHERN MICHIGAN FAMILY DENTISTRY PLLC

Active
Parent organization
NORTHERN MICHIGAN FAMILY DENTISTRY PLLC
Other names
Gaylord Family Dentistry, Cheboygan Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHERN MICHIGAN FAMILY DENTISTRY PLLC
Authorized official
NICOLE KOENIG (OFFICE MANAGER)
(989) 732-4199
Entity
Organization

Contact information

Practice address
10711 N STRAITS HWY, CHEBOYGAN, MI 49721-9077
(231) 627-9352
(231) 627-9411
Mailing address
PO BOX 5215, CHEBOYGAN, MI 49721-5215
(316) 279-3522

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17226
MI

Other

Enumeration date
12/21/2011
Last updated
03/19/2018
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