Clio Family Dentistry Plc

NPI #1366050619 in Clio, Michigan

Provider Information

NPI Number: 1366050619
Entity Type: Organization
Organization Name: Clio Family Dentistry Plc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 22, 2020
Last Updated: Jul 22, 2020

Practice Location

Address: 4279 W VIENNA RD
City: Clio
State: Michigan
ZIP Code: 48420-9440
Phone: (810) 687-2000

Authorized Official

Name: DR. CHAD MARK WITKOW, DDS
Title: GENERAL DENTIST
Phone: (810) 687-2000

Specialties & Taxonomy Codes

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

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