Organization
PHARES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHASE PHARES DDS (OWNER,PARTNER)
(616) 396-7502
Entity
Organization
Contact information
Practice address
291 W LAKEWOOD BLVD, HOLLAND, MI 49424-1969
(616) 396-7502
Mailing address
291 W LAKEWOOD BLVD, HOLLAND, MI 49424-1969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017663
MI
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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