W&w Dentistry

NPI 1003229659 - Dentist - 122300000X

NPI Details
NPI 1003229659
Enumeration Date 06/10/2014
Last Updated 06/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRIAN A BRIAN
Position MEMBER
Phone (616) 455-4108
Fax
Practice Location
2000 43RD ST SE
SUITE C
GRAND RAPIDS MI, 49508-8700, US
Phone (616) 455-4108
Fax
Business Location
2000 43RD ST SE
SUITE C
GRAND RAPIDS MI, 49508-8700, US
Phone (616) 455-4108
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 2901019908
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According to our database, W&w Dentistry NPI is 1003229659, taxonomy code is 122300000X and license number is 2901019908, license state is located at Michigan. W&w Dentistry physically located at 2000 43rd St Se, Grand Rapids MI, 49508-8700. NPI Number 1033115704 has the healthcare provider type.

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1003229659 NPI number is provided on an as is basis without warranty of any kind. 1003229659 is maintained by the National Plan & Provider Enumeration System. The contents of W&w Dentistry are for informational purposes only.