Organization
NORTHWAY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FRANK NORTHWAY D.D.S. (OWNER)
(616) 531-7480
Entity
Organization
Contact information
Practice address
3050 IVANREST AVE SW, GRANDVILLE, MI 49418-1400
(616) 531-7480
(616) 531-4552
Mailing address
3050 IVANREST AVE SW, GRANDVILLE, MI 49418-1400
(616) 531-7480
(616) 531-4552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12024
MI
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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