Grand Valley Dental Care, P.c. | |
2064 Baldwin St Jenison MI 49428-8773 | |
(616) 457-2299 | |
(616) 457-1353 |
Full Name | Grand Valley Dental Care, P.c. |
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Speciality | Dentist - General Practice |
Location | 2064 Baldwin St, Jenison, Michigan |
Authorized Official Name and Position | Carmy G Michael (DENTIST) |
Authorized Official Contact | 6164572299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grand Valley Dental Care, P.c. 2064 Baldwin St Jenison MI 49428-8773 Ph: (616) 457-2299 | Grand Valley Dental Care, P.c. 2064 Baldwin St Jenison MI 49428-8773 Ph: (616) 457-2299 |
NPI Number | 1952439218 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1952439218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 08282 (Michigan) | Primary |
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Mark Lm Powell Dds Msd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2076 Baldwin St, Jenison, MI 49428 Phone: 616-457-5866 | |
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