DR. Gary L Champion, D.D.S.

NPI #1013931252 in Ironwood, Michigan

Provider Information

NPI Number: 1013931252
Entity Type: Individual
Name: DR. Gary L Champion, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: N10236 LAKE RD
City: Ironwood
State: Michigan
ZIP Code: 49938-9545
Phone: (906) 932-5574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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