# PHARES FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245351592
- **Authorized official:** THOMAS CHASE PHARES DDS (OWNER,PARTNER)
- **Authorized official phone:** (616) 396-7502

## Contact information

- **Practice address:** 291 W LAKEWOOD BLVD, HOLLAND, MI 49424-1969
- **Practice address phone:** (616) 396-7502
- **Mailing address:** 291 W LAKEWOOD BLVD, HOLLAND, MI 49424-1969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017663 | MI | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020