| D&m Hispanic Dental Office Bldg Llc | |
|
840 Brookville Plz Se Grand Rapids MI 49508-1315 | |
| (616) 301-0799 | |
| (616) 301-2130 |
| Full Name | D&m Hispanic Dental Office Bldg Llc |
|---|---|
| Speciality | Dentist |
| Location | 840 Brookville Plz Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ligia M Castanos (OWNER / MANAGER) |
| Authorized Official Contact | 6163010799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D&m Hispanic Dental Office Bldg Llc 840 Brookville Plz Se Grand Rapids MI 49508-1315 Ph: (616) 301-0799 | D&m Hispanic Dental Office Bldg Llc 840 Brookville Plz Se Grand Rapids MI 49508-1315 Ph: (616) 301-0799 |
| NPI Number | 1720239189 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 10/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720239189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Michigan) | Primary |
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