Organization
WEST MILHAM DENTAL PROFESSIONALS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY M MOTSON DDS (OWNER)
(269) 381-0564
Entity
Organization
Contact information
Practice address
1416 W MILHAM AVE, PORTAGE, MI 49024-2245
(269) 381-0564
(269) 381-4965
Mailing address
1416 W MILHAM AVE, PORTAGE, MI 49024-2245
(269) 381-0564
(269) 381-4965
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901019482
MI
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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