Bridge Street Smiles, Pllc

NPI #1316767163 in Portland, Michigan

Provider Information

NPI Number: 1316767163
Entity Type: Organization
Organization Name: Bridge Street Smiles, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 16, 2024
Last Updated: Oct 16, 2024

Practice Location

Address: 119 E BRIDGE ST
City: Portland
State: Michigan
ZIP Code: 48875-1434
Phone: (517) 647-4511

Authorized Official

Name: DR. RENEE LYN-IREY OWEN, DDS
Title: OWNER
Phone: (517) 526-1234

Specialties & Taxonomy Codes

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

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