| Smiles Of Grand River Pllc | |
|
55840 Grand River Ave Suite 350 New Hudson MI 48165-9717 | |
| (734) 707-8764 | |
| Not Available |
| Full Name | Smiles Of Grand River Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 55840 Grand River Ave, New Hudson, Michigan |
| Authorized Official Name and Position | James Shaheen (PRESIDENT) |
| Authorized Official Contact | 2485610316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Of Grand River Pllc 55840 Grand River Ave Suite 350 New Hudson MI 48165-9717 Ph: (734) 707-8764 | Smiles Of Grand River Pllc 55840 Grand River Ave Suite 350 New Hudson MI 48165-9717 Ph: (734) 707-8764 |
| NPI Number | 1710341102 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710341102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901021018 (Michigan) | Primary |
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