Organization
CHESANING FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA L HENIGE (MANGER)
(989) 845-7242
Entity
Organization
Contact information
Practice address
1109 W BROAD STREET, CHESANING, MI 48616
(989) 845-7242
(989) 845-7300
Mailing address
1109 W BROAD STREET, CHESANING, MI 48616
(989) 845-7242
(989) 845-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16049
MI
Other
Enumeration date
10/23/2006
Last updated
07/14/2008
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