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Organization
O'BRIEN AND O'BRIEN DDS PC
Active
Organization
O'BRIEN AND O'BRIEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SALADIN (DENTAL INSURANCE SPECIALIST)
(616) 361-2617
Entity
Organization
Contact information
Practice address
1503 COIT AVE NE, GRAND RAPIDS, MI 49505-4906
(616) 361-2617
(616) 361-2390
Mailing address
1503 COIT AVE NE, GRAND RAPIDS, MI 49505-4906
(616) 361-2617
(616) 361-2390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11606
MI
1223G0001X
General Practice Dentistry
Primary
11607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11606
STATE ID NUMBER
MI
01
—
11607
STATE ID NUMBER
MI
05
—
4051278
—
MI
05
—
4051287
—
MI
Enumeration date
04/10/2007
Last updated
08/22/2020
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