| Mi Smiles Dental Grand Rapids Se Plc | |
|
2100 Raybrook St Se Ste 106 Grand Rapids MI 49546-5783 | |
| (616) 942-2870 | |
| Not Available |
| Full Name | Mi Smiles Dental Grand Rapids Se Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2100 Raybrook St Se Ste 106, Grand Rapids, Michigan |
| Authorized Official Name and Position | Laura Rogers (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 6163794013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Smiles Dental Grand Rapids Se Plc 3250 Central Blvd Hudsonville MI 49426-1439 Ph: () - | Mi Smiles Dental Grand Rapids Se Plc 2100 Raybrook St Se Ste 106 Grand Rapids MI 49546-5783 Ph: (616) 942-2870 |
| NPI Number | 1386314896 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386314896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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