Grand River Pediatric Dentistry Pllc | |
7758 20th Ave Jenison MI 49428 | |
(734) 250-4494 | |
Not Available |
Full Name | Grand River Pediatric Dentistry Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 7758 20th Ave, Jenison, Michigan |
Authorized Official Name and Position | Meghan Dubois Condit (MEMBER) |
Authorized Official Contact | 7342504494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grand River Pediatric Dentistry Pllc 7758 20th Ave Jenison MI 49428-8524 Ph: (616) 777-3300 | Grand River Pediatric Dentistry Pllc 7758 20th Ave Jenison MI 49428 Ph: (734) 250-4494 |
NPI Number | 1174175996 |
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Provider Enumeration Date | 07/11/2019 |
Last Update Date | 12/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174175996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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