Michigan Dental Sleep Center INC

NPI #1376908392 in Clio, Michigan

Provider Information

NPI Number: 1376908392
Entity Type: Organization
Organization Name: Michigan Dental Sleep Center INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 17, 2015
Last Updated: Apr 25, 2022

Practice Location

Address: 4279 W VIENNA RD
City: Clio
State: Michigan
ZIP Code: 48420-9440
Phone: (810) 659-1721

Authorized Official

Name: DR. CHAD M WITKOW, DDS
Title: PRESIDENT
Phone: (810) 659-1721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist - General Practice — General Practice	1223G0001X	Primary

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