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Organization
MI SMILES DENTAL COMSTOCK PARK PLC
Active
Organization
MI SMILES DENTAL COMSTOCK PARK PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ROGERS (DIRECTOR OF FINANCE)
(616) 379-4013
Entity
Organization
Contact information
Practice address
6440 ALPINE AVE NW STE B, COMSTOCK PARK, MI 49321-8002
(616) 784-3515
Mailing address
3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 379-4013
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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