| Grand River Periodontics, Pllc | |
|
3050 Ivanrest Ave Sw Ste B Grandville MI 49418-1400 | |
| (616) 531-1554 | |
| Not Available |
| Full Name | Grand River Periodontics, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3050 Ivanrest Ave Sw Ste B, Grandville, Michigan |
| Authorized Official Name and Position | Rachel Sheridan Sinacola (OWNER, PERIODONTIST) |
| Authorized Official Contact | 9894308554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand River Periodontics, Pllc 499 Somerset Dr Ne Grand Rapids MI 49503-3906 Ph: (989) 430-8554 | Grand River Periodontics, Pllc 3050 Ivanrest Ave Sw Ste B Grandville MI 49418-1400 Ph: (616) 531-1554 |
| NPI Number | 1326715665 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326715665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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