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Organization

AFFINITY DENTAL CARE PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL R ALE MBA (OFFICE MANAGER)
(404) 207-2605
Entity
Organization

Contact information

Practice address
2807 LAKE MICHIGAN DR NW STE 3, GRAND RAPIDS, MI 49504-5831
(678) 462-0499
Mailing address
PO BOX 141547, GRAND RAPIDS, MI 49514-1547
(404) 207-2605

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629497631
NPPES
GA
Enumeration date
02/02/2023
Last updated
02/02/2023
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