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Organization
PETERS FAMILY DENTISTRY, PLLC
Active
Organization
PETERS FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA PETERS (OWNER)
(616) 698-6663
Entity
Organization
Contact information
Practice address
6651 CROSSINGS DR SE, STE A, GRAND RAPIDS, MI 49508-7894
(616) 698-6663
Mailing address
6651 CROSSINGS DR SE, STE A, GRAND RAPIDS, MI 49508-7894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16299
MI
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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