Organization Name: | WILLIAM R. LINDOW, D.M.D., P.C. |
NPI Number: | 1982083762 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM ROBERT LINDOW (OWNER) |
Mailing Address: | 1467 S Main St Eaton Rapids |
State: | MI US |
Postal Code: | 488271937 |
Phone Number: | 5176639021 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2015 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 2901015666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |