Organization
DOWAGIAC FAMILY DENTISTRY, PC
Active
Other names
Dowagiac Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN W GILLESBY DDS (PRESIDENT)
(269) 782-5161
Entity
Organization
Contact information
Practice address
530 RIVERSIDE DR, DOWAGIAC, MI 49047-2101
(269) 782-5161
(269) 782-1126
Mailing address
530 RIVERSIDE DR, DOWAGIAC, MI 49047-2101
(269) 782-5161
(269) 782-1126
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901017899
MI
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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