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Organization
MATTAWAN DENTAL, PLC, DBA TEXAS CORNERS DENTAL
Active
Organization
MATTAWAN DENTAL, PLC, DBA TEXAS CORNERS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY KRISTINA GRISWOLD DMD (OWNER DENTIST)
(269) 352-0980
Entity
Organization
Contact information
Practice address
6780 W Q AVE, KALAMAZOO, MI 49009-3961
(269) 372-2400
Mailing address
6780 W Q AVE, KALAMAZOO, MI 49009-3961
(269) 372-2400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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