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Organization
GREAT LAKES DENTAL CARE P.C.
Active
Organization
GREAT LAKES DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS BRUCE WEBB D.D.S. (DENTIST)
(616) 784-6300
Entity
Organization
Contact information
Practice address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Mailing address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011152
MI
1223G0001X
General Practice Dentistry
2901019180
MI
Other
Enumeration date
01/10/2007
Last updated
05/12/2021
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