Grand River Family Dentistry P.c.

NPI 1467401141 - Dentist - 1223G0001X

NPI Details
NPI 1467401141
Enumeration Date 05/09/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ABRAHAM LAWRENCE ABRAHAM
Position PRESIDENT DENTIST
Phone (313) 535-2273
Fax (313) 535-5212
Practice Location
24366 GRAND RIVER AVE
SUITE 111
DETROIT MI, 48219-3063, US
Phone (313) 535-2273
Fax (313) 535-5212
Business Location
24366 GRAND RIVER AVE
SUITE 111
DETROIT MI, 48219-3063, US
Phone (313) 535-2273
Fax (313) 535-5212
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901015675
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According to our database, Grand River Family Dentistry P.c. NPI is 1467401141, taxonomy code is 1223G0001X and license number is 2901015675, license state is located at Michigan. Grand River Family Dentistry P.c. physically located at 24366 Grand River Ave, Detroit MI, 48219-3063. NPI Number 1033115704 has the healthcare provider type.

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1467401141 NPI number is provided on an as is basis without warranty of any kind. 1467401141 is maintained by the National Plan & Provider Enumeration System. The contents of Grand River Family Dentistry P.c. are for informational purposes only.