| Grandville Pediatric Dentristry | |
|
3131 44th St Sw Grandville MI 49418-2684 | |
| (616) 531-3430 | |
| Not Available |
| Full Name | Grandville Pediatric Dentristry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3131 44th St Sw, Grandville, Michigan |
| Authorized Official Name and Position | Michael Brian Demeter (PRESIDENT) |
| Authorized Official Contact | 6165313430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandville Pediatric Dentristry 3131 44th St Sw Grandville MI 49418-2684 Ph: (616) 531-3430 | Grandville Pediatric Dentristry 3131 44th St Sw Grandville MI 49418-2684 Ph: (616) 531-3430 |
| NPI Number | 1891718284 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891718284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 17118 (Michigan) | Primary |
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