Organization
HARBOR LIGHTS DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN WILLIAM PELLEGROM DDS (OWNER/DENTIST)
(616) 842-2850
Entity
Organization
Contact information
Practice address
575 ROBBINS RD SUITE B, GRAND HAVEN, MI 49417
(616) 842-2850
(616) 842-7205
Mailing address
575 ROBBINS RD SUITE B, GRAND HAVEN, MI 49417
(616) 842-2850
(616) 842-7205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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