| Grapevine Denture Service | |
|
865 Us Highway 31 S Traverse City MI 49684-8716 | |
| (231) 943-8409 | |
| Not Available |
| Full Name | Grapevine Denture Service |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 865 Us Highway 31 S, Traverse City, Michigan |
| Authorized Official Name and Position | Jack D Ross (DENTIST) |
| Authorized Official Contact | 2319438409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Denture Service 865 Us Highway 31 S Traverse City MI 49684-8716 Ph: (231) 943-8409 | Grapevine Denture Service 865 Us Highway 31 S Traverse City MI 49684-8716 Ph: (231) 943-8409 |
| NPI Number | 1902019623 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902019623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 08128 (Michigan) | Primary |
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