Search › Michigan › 1223G0001X
Justin Otten, D.D.S
NPI 1659419273 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2255 Lee St Sw
Wyoming, MI 49519 - Phone
- (616) 532-0501
- Fax
- (616) 532-0501
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan