| Affinity Dental Care Plc | |
|
2807 Lake Michigan Dr Nw Ste 3 Grand Rapids MI 49504-5831 | |
| (678) 462-0499 | |
| Not Available |
| Full Name | Affinity Dental Care Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2807 Lake Michigan Dr Nw Ste 3, Grand Rapids, Michigan |
| Authorized Official Name and Position | Manuel R Ale (OFFICE MANAGER) |
| Authorized Official Contact | 4042072605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Dental Care Plc Po Box 141547 Grand Rapids MI 49514-1547 Ph: (404) 207-2605 | Affinity Dental Care Plc 2807 Lake Michigan Dr Nw Ste 3 Grand Rapids MI 49504-5831 Ph: (678) 462-0499 |
| NPI Number | 1194421909 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194421909 | NPI | - | NPPES |
| 1629497631 | Other | GA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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