Organization
CASSOPOLIS DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAYMAN JR. D.D.S. (OWNER DENTIST)
(269) 445-8636
Entity
Organization
Contact information
Practice address
62225 M 62, CASSOPOLIS, MI 49031-8733
(269) 445-8636
(269) 445-2891
Mailing address
PO BOX 335, CASSOPOLIS, MI 49031-0335
(269) 445-8636
(269) 445-2891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015556
MI
1223G0001X
General Practice Dentistry
2901021614
MI
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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