# MEL TROTTER MINISTRIES DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427594027
- **Authorized official:** MR. GORDON OOSTING (CFO)
- **Authorized official phone:** (616) 588-8773

## Contact information

- **Practice address:** 225 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4107
- **Practice address phone:** (616) 588-8796
- **Mailing address:** 225 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4107
- **Mailing address phone:** (616) 588-8796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 01/06/2017