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Ludington Dental, PLLC

Clinic/Center, Dental in Ludington, MI. Organization (NPI-2).

NPI number1124591011
StatusActive
Last updated in NPPESJan 3, 2019

Details

NPI
1124591011
Entity type
Organization (NPI-2)
Legal business name
Ludington Dental, PLLC
Organization subpart
No
Enumeration date
Jan 3, 2019
Last updated
Jan 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

102 S Washington Ave
Ludington, MI 49431-2283

Phone 231-843-2751 · Fax 231-845-8336

Mailing address

102 S Washington Ave
Ludington, MI 49431-2283

Phone 231-843-2751 · Fax 231-845-8336

Authorized official

Carissima Ellen Aloe
Owner/Dentist
2318432751

Is something wrong?

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