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Organization
GRAND RIVER PERIODONTICS, PLLC
Active
Organization
GRAND RIVER PERIODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL SHERIDAN SINACOLA DDS, MS (OWNER, PERIODONTIST)
(989) 430-8554
Entity
Organization
Contact information
Practice address
3050 IVANREST AVE SW STE B, GRANDVILLE, MI 49418-1400
(616) 531-1554
Mailing address
499 SOMERSET DR NE, GRAND RAPIDS, MI 49503-3906
(989) 430-8554
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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