# D&M HISPANIC DENTAL OFFICE BLDG LLC

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

## Provider details

- **NPI number:** 1720239189
- **Authorized official:** LIGIA M CASTANOS (OWNER / MANAGER)
- **Authorized official phone:** (616) 301-0799

## Contact information

- **Practice address:** 840 BROOKVILLE PLZ SE, GRAND RAPIDS, MI 49508-1315
- **Practice address phone:** (616) 301-0799
- **Practice address fax:** (616) 301-2130
- **Mailing address:** 840 BROOKVILLE PLZ SE, GRAND RAPIDS, MI 49508-1315
- **Mailing address phone:** (616) 301-0799
- **Mailing address fax:** (616) 301-2130

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2008
- **Last updated:** 10/03/2008