Organization
FLAT RRIVER FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK E FABER DDS (CHAIR PERSON)
(616) 754-3511
Entity
Organization
Contact information
Practice address
400 W OAK ST, GREENVILLE, MI 48838-2276
(616) 754-3511
Mailing address
124 W. CASS ST, GREENVILLE, MI 48838
(616) 754-3511
(606) 754-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10419
MI
1223G0001X
General Practice Dentistry
2901010419
MI
Other
Enumeration date
12/22/2008
Last updated
01/07/2009
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