Organization
JARED HECTOR DDS, PLLC
Active
Other names
Johnson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED HECTOR DDS (GENERAL DENTIST)
(616) 826-2728
Entity
Organization
Contact information
Practice address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
(269) 381-7250
Mailing address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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