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Organization
HARVESTER DENTAL
Active
Organization
HARVESTER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL BRUEN (HUMAN RESOURCES)
(616) 363-1136
Entity
Organization
Contact information
Practice address
2755 FULLER AVE NE, GRAND RAPIDS, MI 49505-3785
(616) 363-1136
Mailing address
2755 FULLER AVE NE, GRAND RAPIDS, MI 49505-3785
(616) 363-1136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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