Individual provider · NPI-1
Dr. Emily P Bandeen, DDS
Dentist · Battle Creek, MI
NPI number1417067158
StatusActive
Last updated in NPPESJun 23, 2014
Details
- NPI
- 1417067158
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emily P Bandeen
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jun 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901019417 | MI | Yes |
Other names
- Emily Pala (Former Name)
Practice location
4602 Beckley RdBattle Creek, MI 49015-7932
Phone 269-963-4118 · Fax 269-963-4167
Mailing address
4602 Beckley RdBattle Creek, MI 49015-7932
Phone 269-963-4118 · Fax 269-963-4167
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