Northern Family Dental Plc
NPI #1053992057 in Charlevoix, Michigan
Provider Information
- NPI Number
- 1053992057
- Entity Type
- Organization
- Organization Name
- Northern Family Dental Plc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 20, 2021
- Last Updated
- Jun 7, 2021
Practice Location
- Address
- 106 E GARFIELD AVE
- City
- Charlevoix
- State
- Michigan
- ZIP Code
- 49720-1721
- Phone
- (231) 547-4148
Authorized Official
- Name
- DR. BRIAN RAYMOND KWAPISZ, DDS
- Title
- OWNER
- Phone
- (231) 547-4148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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