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Organization
DOWNRIVER DENTAL ASSOCIATES P.C.
Active
Organization
DOWNRIVER DENTAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MARK GRUMET D.D.S. (VICE-PRESIDENT)
(313) 383-6800
Entity
Organization
Contact information
Practice address
3830 FORT STREET, LINCOLN PARK, MI 48146
(313) 383-6800
(313) 383-1026
Mailing address
3830 FORT ST., LINCOLN PARK, MI 48146
(313) 383-6800
(313) 383-1026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D803850
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
09/28/2006
Last updated
09/11/2025
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