| Dental Dreams Pllc | |
|
5200 S Westnedge Ave Portage MI 49002-0405 | |
| (269) 382-6656 | |
| Not Available |
| Full Name | Dental Dreams Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5200 S Westnedge Ave, Portage, Michigan |
| Authorized Official Name and Position | Elizabeth Lee (ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 3122744526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Dreams Pllc 350 N Clark St Ste 600 Chicago IL 60654-4782 Ph: () - | Dental Dreams Pllc 5200 S Westnedge Ave Portage MI 49002-0405 Ph: (269) 382-6656 |
| NPI Number | 1093122756 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093122756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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