Organization
BIG RAPIDS DENTAL HEALTH CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN C BLACK DDS (VICE PRESIDENT)
(231) 796-4747
Entity
Organization
Contact information
Practice address
201 S. MICHIGAN AVE, BIG RAPIDS, MI 49307
(231) 796-4747
(231) 796-5711
Mailing address
PO BOX 916, BIG RAPIDS, MI 49307
(231) 796-4747
(231) 796-5711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/30/2008
Last updated
10/09/2014
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