West Milham Dental Professionals Pllc

NPI #1912218264 in Portage, Michigan

Provider Information

NPI Number: 1912218264
Entity Type: Organization
Organization Name: West Milham Dental Professionals Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 1, 2010
Last Updated: Jul 1, 2010

Practice Location

Address: 1416 W MILHAM AVE
City: Portage
State: Michigan
ZIP Code: 49024-2245
Phone: (269) 381-0564

Authorized Official

Name: DR. KELLY M MOTSON, DDS
Title: OWNER
Phone: (269) 381-0564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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