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Organization
GRUTTER DENTAL SERVICES, PLLC
Active
Organization
GRUTTER DENTAL SERVICES, PLLC
Active
Other names
Cannon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARON GRUTTER DDS (OWNER)
(816) 866-0064
Entity
Organization
Contact information
Practice address
6785 MYERS LAKE AVE NE STE A, ROCKFORD, MI 49341-7415
(616) 874-6040
Mailing address
6785 MYERS LAKE AVE NE STE A, ROCKFORD, MI 49341-7415
(616) 874-6040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2026
Last updated
09/22/2026
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