Organization
MITUS-ROSENDALL D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MARIE SANDRETTO (OFFICE MANAGER)
(616) 363-9277
Entity
Organization
Contact information
Practice address
4829 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9747
(616) 363-9277
Mailing address
4829 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14130
MI
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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