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Organization
HAMILTON PEDIATRIC DENTISTRY PC
Active
Organization
HAMILTON PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA R HAMILTON DDS, MS (OWNER/PEDIATRIC DENTIST)
(919) 308-6292
Entity
Organization
Contact information
Practice address
3299 CLEAR VISTA CT NE, SUITE B, GRAND RAPIDS, MI 49525-9326
(919) 308-6292
Mailing address
3299 CLEAR VISTA CT NE, SUITE B, GRAND RAPIDS, MI 49525-9326
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901020854
MI
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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