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Cheboygan Dental Associates INC

Dentist in Cheboygan, MI. Organization (NPI-2).

NPI number1003022005
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1003022005
Entity type
Organization (NPI-2)
Legal business name
Cheboygan Dental Associates INC
Organization subpart
No
Enumeration date
May 15, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

128 S Huron Street
Cheboygan, MI 49721

Phone 231-627-9181 · Fax 231-627-2152

Mailing address

128 S Huron St
Cheboygan, MI 49721

Phone 231-627-9181 · Fax 231-627-2152

Authorized official

Nancy A Isard
President
2316279181

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Other Dentist providers in Cheboygan, MI

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