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Individual

DR. ROBERT GRAHAM GREENLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
2490 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546-6218
(616) 256-8770
(616) 327-7452
Mailing address
2490 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-6218
(616) 256-8770
(616) 327-7452

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901601005
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2901601005
PROSTHODONTIC LICENSE
MI
Enumeration date
06/08/2015
Last updated
02/03/2025
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