Organization
RANDY J BREEN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY BREEN (OWNER)
(616) 454-9091
Entity
Organization
Contact information
Practice address
2460 BURTON ST SE STE 201, GRAND RAPIDS, MI 49546-4800
(616) 454-9091
Mailing address
2460 BURTON ST SE STE 201, GRAND RAPIDS, MI 49546-4800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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