| N/a | |
|
4500 Cascade Rd Se Ste 107 Grand Rapids MI 49546-3665 | |
| (616) 957-1304 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Dentist |
| Location | 4500 Cascade Rd Se Ste 107, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mark Salhaney (DENTIST, OWNER) |
| Authorized Official Contact | 6169571304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 4500 Cascade Rd Se Ste 107 Grand Rapids MI 49546-3665 Ph: (616) 957-1304 | N/a 4500 Cascade Rd Se Ste 107 Grand Rapids MI 49546-3665 Ph: (616) 957-1304 |
| NPI Number | 1245642297 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245642297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901021224 (* (Not Available)) | Primary |
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