| Professional Dentalcare Associates, Pllc | |
|
3303 Grand Ridge Dr Ne Grand Rapids MI 49525-7033 | |
| (616) 363-3821 | |
| Not Available |
| Full Name | Professional Dentalcare Associates, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3303 Grand Ridge Dr Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Adele Diane Gray (DENTIST/OWNER) |
| Authorized Official Contact | 6163633821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dentalcare Associates, Pllc 3303 Grand Ridge Dr Ne Grand Rapids MI 49525-7033 Ph: (616) 363-3821 | Professional Dentalcare Associates, Pllc 3303 Grand Ridge Dr Ne Grand Rapids MI 49525-7033 Ph: (616) 363-3821 |
| NPI Number | 1467628909 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467628909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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