The Dental House Pllc | |
660 Croswell Ave. Se East Grand Rapids MI 49506 | |
(616) 266-2611 | |
(616) 282-1709 |
Full Name | The Dental House Pllc |
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Speciality | Clinic/center - Dental |
Location | 660 Croswell Ave. Se, East Grand Rapids, Michigan |
Authorized Official Name and Position | Brockton Richard Willey (OWNER) |
Authorized Official Contact | 6162662611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Dental House Pllc 660 Croswell Ave. Se East Grand Rapids MI 49506 Ph: (616) 266-2611 | The Dental House Pllc 660 Croswell Ave. Se East Grand Rapids MI 49506 Ph: (616) 266-2611 |
NPI Number | 1386320257 |
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Provider Enumeration Date | 06/26/2023 |
Last Update Date | 06/26/2023 |
Identifier | Type | State | Issuer |
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1386320257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |