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Organization
RESTORE PERIODONTICS AND IMPLANT DENTISTRY PLLC
Active
Organization
RESTORE PERIODONTICS AND IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DEMPSEY DDS (OWNER)
(616) 826-8167
Entity
Organization
Contact information
Practice address
2017 EASTCASTLE DR SE STE C, GRAND RAPIDS, MI 49508-8872
(616) 826-8167
Mailing address
2017 EASTCASTLE DR SE STE C, GRAND RAPIDS, MI 49508-8872
(616) 826-8167
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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