Provider Demographics
NPI:1992730063
Name:COMAR & COMAR PC
Entity type:Organization
Organization Name:COMAR & COMAR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:R
Authorized Official - Last Name:COMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:269-381-8419
Mailing Address - Street 1:1900 WHITES RD
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-2895
Mailing Address - Country:US
Mailing Address - Phone:269-381-8419
Mailing Address - Fax:269-381-1529
Practice Address - Street 1:1900 WHITES RD
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-2895
Practice Address - Country:US
Practice Address - Phone:269-381-8419
Practice Address - Fax:269-381-1529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty