| Leonard J Bartoszewicz, Dds | |
|
2003 Burton St Se Grand Rapids MI 49506-4600 | |
| (616) 245-9830 | |
| (616) 245-5026 |
| Full Name | Leonard J Bartoszewicz, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2003 Burton St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Amy Marie Anderson (OFFICE MANAGER) |
| Authorized Official Contact | 6162459830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard J Bartoszewicz, Dds 2003 Burton St Se Grand Rapids MI 49506-4600 Ph: (616) 245-9830 | Leonard J Bartoszewicz, Dds 2003 Burton St Se Grand Rapids MI 49506-4600 Ph: (616) 245-9830 |
| NPI Number | 1669087433 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669087433 | NPI | - | NPPES |
| 20171208833958 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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