Organization
GENTLE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY M NEMECEK D.D.S. (DOCTOR)
(231) 547-9516
Entity
Organization
Contact information
Practice address
201 BRIDGE PARK DR, CHARLEVOIX, MI 49720-1381
(231) 547-9516
(231) 547-9526
Mailing address
201 BRIDGE PARK DR, CHARLEVOIX, MI 49720-1381
(231) 547-9516
(231) 547-9526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014579
MI
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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