Grandville Family Dental Care, P.c.

NPI 1043430598 - Dentist - 122300000X

NPI Details
NPI 1043430598
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEREK M DEREK
Position VP TREAS
Phone (616) 534-7138
Fax (616) 534-7174
Practice Location
3100 WILSON AVE SW
GRANDVILLE MI, 49418-1200, US
Phone (616) 534-7138
Fax (616) 534-7174
Business Location
3100 WILSON AVE SW
GRANDVILLE MI, 49418-1200, US
Phone (616) 534-7138
Fax (616) 534-7174
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1043430598 NPI Number
 

According to our database, Grandville Family Dental Care, P.c. NPI is 1043430598, taxonomy code is 122300000X Grandville Family Dental Care, P.c. physically located at 3100 Wilson Ave Sw, Grandville MI, 49418-1200. NPI Number 1033115704 has the healthcare provider type.

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1043430598 NPI number is provided on an as is basis without warranty of any kind. 1043430598 is maintained by the National Plan & Provider Enumeration System. The contents of Grandville Family Dental Care, P.c. are for informational purposes only.