| Mariner Dental | |
|
540 S Parker St Marine City MI 48039-3593 | |
| (810) 765-1440 | |
| Not Available |
| Full Name | Mariner Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 540 S Parker St, Marine City, Michigan |
| Authorized Official Name and Position | Eric Groeneveld (MEMBER) |
| Authorized Official Contact | 2482254392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariner Dental Po Box 460 Richmond MI 48062-0460 Ph: (586) 727-0990 | Mariner Dental 540 S Parker St Marine City MI 48039-3593 Ph: (810) 765-1440 |
| NPI Number | 1427527779 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427527779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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