Portage Pediatric Dentistry Plc
NPI #1366817827 in Portage, Michigan
Provider Information
- NPI Number
- 1366817827
- Entity Type
- Organization
- Organization Name
- Portage Pediatric Dentistry Plc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 9, 2015
- Last Updated
- Dec 9, 2015
Practice Location
Authorized Official
- Name
- DR. JODY L WRATHALL, DDS, MS
- Title
- OWNER
- Phone
- (269) 323-8016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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