Organization
EGGLESTON FAMILY DENTISTRY PC
Active
Other names
esmiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HARRISON EGGLESTON DDS (PRESIDENT)
(616) 682-0147
Entity
Organization
Contact information
Practice address
4649 N BRETON CT SE, #B, KENTWOOD, MI 49508-5211
(616) 682-0147
Mailing address
4649 N BRETON CT SE, #B, KENTWOOD, MI 49508-5211
(616) 682-0147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015986
MI
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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