| Westside Dental Pc | |
|
2005 Leonard St Nw Grand Rapids MI 49504-3827 | |
| (616) 453-5331 | |
| (616) 453-9235 |
| Full Name | Westside Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2005 Leonard St Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Allyson B Mulder (DOCTOR) |
| Authorized Official Contact | 6164535331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Dental Pc 2005 Leonard St Nw Grand Rapids MI 49504-3827 Ph: (616) 453-5331 | Westside Dental Pc 2005 Leonard St Nw Grand Rapids MI 49504-3827 Ph: (616) 453-5331 |
| NPI Number | 1669840559 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669840559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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