| Galesburg Dental Care | |
|
357 E Michigan Ave Galesburg MI 49053-9763 | |
| (269) 665-9997 | |
| (269) 665-5088 |
| Full Name | Galesburg Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 357 E Michigan Ave, Galesburg, Michigan |
| Authorized Official Name and Position | Shadi Khillah (DENTIST) |
| Authorized Official Contact | 2698064704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galesburg Dental Care 357 E Michigan Ave Galesburg MI 49053-9763 Ph: (269) 665-9997 | Galesburg Dental Care 357 E Michigan Ave Galesburg MI 49053-9763 Ph: (269) 665-9997 |
| NPI Number | 1912351446 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912351446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901021326 (Michigan) | Primary |