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Organization
GRAND RAPIDS DENTISTRY PLC
Active
Organization
GRAND RAPIDS DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MCGLAUN (MANAGER)
(616) 719-8000
Entity
Organization
Contact information
Practice address
2003 BURTON ST SE, GRAND RAPIDS, MI 49506-4600
(616) 243-8936
Mailing address
2003 BURTON ST SE, GRAND RAPIDS, MI 49506-4600
(616) 243-8936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18383
MI
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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