| Grand Rapids Endodontics | |
|
1100 4 Mile Rd Nw Suite C Walker MI 49544-7397 | |
| (616) 784-5800 | |
| (616) 784-5801 |
| Full Name | Grand Rapids Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1100 4 Mile Rd Nw, Walker, Michigan |
| Authorized Official Name and Position | David C. Gruber (PRESIDENT) |
| Authorized Official Contact | 6167845800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Rapids Endodontics 1100 4 Mile Rd Nw Suite C Walker MI 49544-7397 Ph: (616) 784-5800 | Grand Rapids Endodontics 1100 4 Mile Rd Nw Suite C Walker MI 49544-7397 Ph: (616) 784-5800 |
| NPI Number | 1134469869 |
|---|---|
| Provider Enumeration Date | 02/16/2013 |
| Last Update Date | 02/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134469869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2901014839 (Michigan) | Primary |
Lifetime Dental Care Of Michigan, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Wilson Ave Nw, Walker, MI 49534 Phone: 616-317-2485 Fax: 616-317-2406 |