Individual
TERRELL MACEY BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2355 EAST PARIS RD, GRAND RAPIDS, MI 49546-6199
(616) 942-9595
(616) 942-4719
Mailing address
2355 EAST PARIS RD, GRAND RAPIDS, MI 49546-6199
(616) 942-9595
(616) 942-4719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901010302
MI
122300000X
Dentist
—
WI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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