# MOUNTFORD AND RUSZKOWSKI FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountford and Ruszkowski Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104403401
- **Authorized official:** CHRISTOPHER MICHAEL MOUNTFORD DDS (OWNER/DENTIST)
- **Authorized official phone:** (313) 575-1876

## Contact information

- **Practice address:** 333 JACKSON AVE STE A, GRAND HAVEN, MI 49417-1067
- **Practice address phone:** (616) 842-0822
- **Mailing address:** 333 JACKSON AVE STE A, GRAND HAVEN, MI 49417-1067
- **Mailing address phone:** (616) 842-0822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 03/26/2021