| Dental Group West, P.c. | |
|
1063 4 Mile Rd Nw Grand Rapids MI 49544-7398 | |
| (616) 785-3344 | |
| (616) 785-4013 |
| Full Name | Dental Group West, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1063 4 Mile Rd Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rickey L Van Sweden (PRESIDENT) |
| Authorized Official Contact | 6167853344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group West, P.c. 1063 4 Mile Rd Nw Grand Rapids MI 49544-7398 Ph: (616) 785-3344 | Dental Group West, P.c. 1063 4 Mile Rd Nw Grand Rapids MI 49544-7398 Ph: (616) 785-3344 |
| NPI Number | 1164680971 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164680971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901010289 (Michigan) | Primary |
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