Organization
BYRON CENTER FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HENDRIE (OFFICE MANAGER)
(231) 865-6945
Entity
Organization
Contact information
Practice address
4489 BYRON CENTER AVE SW, SUITE A, WYOMING, MI 49519-4804
(616) 534-8554
(616) 534-8063
Mailing address
4489 BYRON CENTER AVE SW, SUITE A, WYOMING, MI 49519-4804
(616) 534-8554
(616) 534-8063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18853
MI
1223G0001X
General Practice Dentistry
29010020645
MI
1223G0001X
General Practice Dentistry
5315070576
MI
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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