Alpine Family Dentistry Acquisition Plc | |
4040 Alpine Ave Nw Comstock Park MI 49321-8909 | |
(616) 784-4777 | |
Not Available |
Full Name | Alpine Family Dentistry Acquisition Plc |
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Speciality | Clinic/center - Dental |
Location | 4040 Alpine Ave Nw, Comstock Park, Michigan |
Authorized Official Name and Position | Bruce Jackson (OWNER) |
Authorized Official Contact | 6167844777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alpine Family Dentistry Acquisition Plc 4040 Alpine Ave Nw Comstock Park MI 49321-8909 Ph: (616) 784-4777 | Alpine Family Dentistry Acquisition Plc 4040 Alpine Ave Nw Comstock Park MI 49321-8909 Ph: (616) 784-4777 |
NPI Number | 1336753839 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 09/02/2020 |
Identifier | Type | State | Issuer |
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1336753839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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