| Harvester Dental | |
|
2755 Fuller Ave Ne Grand Rapids MI 49505-3785 | |
| (616) 363-1136 | |
| Not Available |
| Full Name | Harvester Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2755 Fuller Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rachel Bruen (HUMAN RESOURCES) |
| Authorized Official Contact | 6163631136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvester Dental 2755 Fuller Ave Ne Grand Rapids MI 49505-3785 Ph: (616) 363-1136 | Harvester Dental 2755 Fuller Ave Ne Grand Rapids MI 49505-3785 Ph: (616) 363-1136 |
| NPI Number | 1730539818 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730539818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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