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Organization
SMILE ITHACA PLLC
Active
Organization
SMILE ITHACA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN RIOPELLE DDS (OWNER, CEO)
(616) 502-8023
Entity
Organization
Contact information
Practice address
108 S MAIN ST, ITHACA, MI 48847-1440
(989) 875-4832
Mailing address
128 COLUMBUS AVE, GRAND HAVEN, MI 49417-1224
(616) 268-2090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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