Cheboygan Dental Associates INC

NPI #1003022005 in Cheboygan, Michigan

Provider Information

NPI Number: 1003022005
Entity Type: Organization
Organization Name: Cheboygan Dental Associates INC
Primary Specialty: Dentist
Enumeration Date: May 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 128 S HURON STREET
City: Cheboygan
State: Michigan
ZIP Code: 49721
Phone: (231) 627-9181

Authorized Official

Name: NANCY A ISARD
Title: PRESIDENT
Phone: (231) 627-9181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
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