| Mark W. Tournell, D.d.s., Pllc | |
|
5010 Cascade Rd Se Grand Rapids MI 49546-3725 | |
| (616) 942-0840 | |
| Not Available |
| Full Name | Mark W. Tournell, D.d.s., Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5010 Cascade Rd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mark Tournell (OWNER) |
| Authorized Official Contact | 6169420840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Tournell, D.d.s., Pllc 5010 Cascade Rd Se Grand Rapids MI 49546-3725 Ph: () - | Mark W. Tournell, D.d.s., Pllc 5010 Cascade Rd Se Grand Rapids MI 49546-3725 Ph: (616) 942-0840 |
| NPI Number | 1285060780 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285060780 | NPI | - | NPPES |
| 1275520199 | Other | MI | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | J11639 (Michigan) | Primary |
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