Organization
MIDWEST FAMILY DENTAL CARE PORTAGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE COCHRAN (BILLING MANAGER)
(269) 355-6072
Entity
Organization
Contact information
Practice address
706 W CENTRE AVE, PORTAGE, MI 49024-5310
(269) 323-1679
Mailing address
706 W CENTRE AVE, PORTAGE, MI 49024-5310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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