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General NPI Number Information
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NPI Number | 1881718047
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Entity Type | Organization
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Legal Business Name | WESTER DENTAL CARE, P.C.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8191 MOORS BRIDGE RD
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City | PORTAGE
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State | MI
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Zip | 49024-7416
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Country | US
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Telephone | 269-327-1119
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Fax | 269-327-5725
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Provider Business Mailing Address
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Address Line | 8191 MOORS BRIDGE RD
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City | PORTAGE
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State | MI
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Zip | 49024-7416
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Country | US
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Telephone | 269-327-1119
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Fax | 269-327-5725
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Authorized Official
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Title or Position | OWNER
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Name | KEITH E. WESTER
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Credential | D.D.S.
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Telephone | 269-327-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D15368
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License Number State | MI
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