| Lake Michigan Endodontics Of Grand Haven Pllc | |
|
921 S Beechtree St Ste 6a Grand Haven MI 49417-2385 | |
| (616) 935-7661 | |
| (616) 935-7664 |
| Full Name | Lake Michigan Endodontics Of Grand Haven Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 921 S Beechtree St Ste 6a, Grand Haven, Michigan |
| Authorized Official Name and Position | Jeffrey Norman Dzingle (OWNER) |
| Authorized Official Contact | 6169357661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Michigan Endodontics Of Grand Haven Pllc 921 S Beechtree St Ste 6a Grand Haven MI 49417-2385 Ph: (616) 935-7661 | Lake Michigan Endodontics Of Grand Haven Pllc 921 S Beechtree St Ste 6a Grand Haven MI 49417-2385 Ph: (616) 935-7661 |
| NPI Number | 1467195958 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467195958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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