| Dental Group Associates Pc | |
|
4505 Cascade Rd Se # B Grand Rapids MI 49546-8381 | |
| (616) 268-2090 | |
| Not Available |
| Full Name | Dental Group Associates Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4505 Cascade Rd Se # B, Grand Rapids, Michigan |
| Authorized Official Name and Position | Lisa Papes (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6162682092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group Associates Pc 128 Columbus Ave Grand Haven MI 49417-1224 Ph: (616) 268-2092 | Dental Group Associates Pc 4505 Cascade Rd Se # B Grand Rapids MI 49546-8381 Ph: (616) 268-2090 |
| NPI Number | 1487128120 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487128120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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