Brian Joseph Putman, D.D.S.

NPI #1609139302 in Ithaca, Michigan

Provider Information

NPI Number: 1609139302
Entity Type: Individual
Name: Brian Joseph Putman, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 19, 2012
Last Updated: Dec 15, 2015

Practice Location

Address: 610 N. PINE RIVER ST.
City: Ithaca
State: Michigan
ZIP Code: 48847
Phone: (989) 875-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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