| Galesburg Family Dentistry | |
|
32800 E Red Arrow Hwy Paw Paw MI 49079-9401 | |
| (269) 251-2286 | |
| Not Available |
| Full Name | Galesburg Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 32800 E Red Arrow Hwy, Paw Paw, Michigan |
| Authorized Official Name and Position | Bradley Clayton Randall (OWNER/DENTIST) |
| Authorized Official Contact | 2696574001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galesburg Family Dentistry 32800 E Red Arrow Hwy Po Box 232 Paw Paw MI 49079-9401 Ph: (269) 251-2286 | Galesburg Family Dentistry 32800 E Red Arrow Hwy Paw Paw MI 49079-9401 Ph: (269) 251-2286 |
| NPI Number | 1396148342 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396148342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019821 (Michigan) | Primary |
Dr. Jenny Grunberg Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54055 County Road 653, Paw Paw, MI 49079 Phone: 269-657-3900 |