Dr. Gary W. Mancewicz Dds | |
2351 Countrywood Dr Se Kentwood MI 49508-5295 | |
(616) 455-3020 | |
(616) 455-1397 |
Full Name | Dr. Gary W. Mancewicz Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 2351 Countrywood Dr Se, Kentwood, Michigan |
Authorized Official Name and Position | Gary W Mancewicz (OWNER/DENTIST) |
Authorized Official Contact | 6164553020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Gary W. Mancewicz Dds 2351 Countrywood Dr Se Kentwood MI 49508-5295 Ph: (616) 455-3020 | Dr. Gary W. Mancewicz Dds 2351 Countrywood Dr Se Kentwood MI 49508-5295 Ph: (616) 455-3020 |
NPI Number | 1346508124 |
---|---|
Provider Enumeration Date | 04/30/2012 |
Last Update Date | 04/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346508124 | NPI | - | NPPES |
4828774 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901011327 (Michigan) | Primary |
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