| Burton Dental Assoc Pc | |
|
2013 East Castle Dr Se Suite D Grand Rapids MI 49508 | |
| (616) 455-9900 | |
| (616) 455-9901 |
| Full Name | Burton Dental Assoc Pc |
|---|---|
| Speciality | Dentist |
| Location | 2013 East Castle Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Aretha Yamusah (DDS ,PC) |
| Authorized Official Contact | 6164559900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton Dental Assoc Pc 2013 East Castle Dr Se Suite D Grand Rapids MI 49508 Ph: (616) 455-9900 | Burton Dental Assoc Pc 2013 East Castle Dr Se Suite D Grand Rapids MI 49508 Ph: (616) 455-9900 |
| NPI Number | 1295839306 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295839306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901017365 (Michigan) | Primary |
| 122300000X | Dentist | 2901015628 (Michigan) | Secondary |
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