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Organization
SEVA DENTAL MICHIGAN PC
Active
Organization
SEVA DENTAL MICHIGAN PC
Active
Other names
Grandville Dental Team
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROLNICKI (DIRECTOR OF REVENUE CYCLE)
(708) 372-4773
Entity
Organization
Contact information
Practice address
3100 WILSON AVE SW STE 3, GRANDVILLE, MI 49418-1200
(616) 534-7138
Mailing address
19518 LANCASTER DR, MOKENA, IL 60448-7838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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