Portenga, Robert S

Portenga, Robert S is an sole proprietor health care provider with primary practice located at 432 Munson Pl , Traverse City MI 49686-3098. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Portenga, Robert S can be contacted via phone (231) 947-3570.

Contact Information

Primary practice address
432 Munson Pl Traverse City MI 49686-3098
Fax: (231) 947-5160
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2901009781 Michigan

Profile Details

NPI number 1184753691
LBN Legal business name Portenga, Robert S
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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