Organization
WEST SHORE ORTHODONTICS
Active
Other names
Drs Hogan & Dickinson
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L STOUT (FRONT DESK SUPERVISOR)
(231) 737-0001
Entity
Organization
Contact information
Practice address
1150 E SHERMAN BLVD, SUITE 2700, MUSKEGON, MI 49444
(231) 737-0001
(231) 737-9298
Mailing address
1150 E SHERMAN BLVD, SUITE 2700, MUSKEGON, MI 49444
(231) 737-0001
(231) 737-9298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901007277
MI
122300000X
Dentist
Primary
2901011382
MI
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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