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Organization
GLDE, PLLC
Active
Organization
GLDE, PLLC
Active
Other names
Great Lakes Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BETH HEGEDUS (PRAC ADMIN)
(231) 799-0404
Entity
Organization
Contact information
Practice address
5978 HARVEY ST, MUSKEGON, MI 49444-6720
(231) 799-0404
(231) 799-0014
Mailing address
5978 HARVEY ST, MUSKEGON, MI 49444-6720
(231) 799-0404
(231) 799-0014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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