| Rediske Dental Professional Corporation | |
|
6543 28th Ave Hudsonville MI 49426-8856 | |
| (616) 443-6546 | |
| Not Available |
| Full Name | Rediske Dental Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6543 28th Ave, Hudsonville, Michigan |
| Authorized Official Name and Position | Michael Ryan Rediske (PRESIDENT) |
| Authorized Official Contact | 6164436546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediske Dental Professional Corporation 6543 28th Ave Hudsonville MI 49426-8856 Ph: (616) 443-6546 | Rediske Dental Professional Corporation 6543 28th Ave Hudsonville MI 49426-8856 Ph: (616) 443-6546 |
| NPI Number | 1427682251 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427682251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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