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Organization

DRS NEVINS FAMILY DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRYAN EDWARD NEVINS DDS (OWNER)
(231) 832-5621
Entity
Organization

Contact information

Practice address
1419 N. STATE ST., BIG RAPIDS, MI 49307-9749
(231) 796-4409
(231) 796-2694
Mailing address
1419 N STATE ST, BIG RAPIDS, MI 49307-8688
(231) 796-4409
(231) 796-2694

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16241
MI

Other

Enumeration date
11/01/2006
Last updated
12/23/2008
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