Organization
IONIA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI JEAN FENEIS (BUSINESS MANAGER)
(616) 527-4930
Entity
Organization
Contact information
Practice address
430 SWARTZ CT, IONIA, MI 48846-2139
(616) 527-4930
Mailing address
430 SWARTZ CT, IONIA, MI 48846-2139
(616) 527-4930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15925
MI
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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