Great Lakes Endodontics

NPI #1659802395 in Portage, Michigan

Provider Information

NPI Number: 1659802395
Entity Type: Organization
Organization Name: Great Lakes Endodontics
Primary Specialty: Dentist - Endodontics
Enumeration Date: Mar 24, 2017
Last Updated: Mar 24, 2017

Practice Location

Address: 950 TRADE CENTRE WAY
Address 2: STE 225
City: Portage
State: Michigan
ZIP Code: 49002-0487
Phone: (269) 349-2189

Authorized Official

Name: DR. ROBERT YEUNG, DDS, MS
Title: OWNER
Phone: (269) 349-2189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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DR. Dan J Vandermeulen, DDS MS	Dentist - Endodontics	Portage	AI Deep Dive
Michael A Smith, DDS, MS	Dentist - Endodontics	Holland	AI Deep Dive
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Dan J Vandermeulen DDS Ms & Ronald W Reoch DDS Ms PC	Dentist - Endodontics	Portage	AI Deep Dive
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