Carl M Pogoncheff, DDS Valid NPI
Individual provider · Dentist · Lansing, MI
- NPI
- 1508091075
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2901020009 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-05-27
- Last updated
- 2009-05-27
Practice location
2628 Lake Lansing Rd Ste 101
Lansing, MI 48912-3668
(517) 482-5636