Organization
GRAND RIVER PERIODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL SHERIDAN SINACOLA DDS, MS (OWNER, PERIODONTIST)
(989) 430-8554
Entity
Organization
Contact information
Practice address
3050 IVANREST AVE SW STE B, GRANDVILLE, MI 49418-1400
(616) 531-1554
Mailing address
499 SOMERSET DR NE, GRAND RAPIDS, MI 49503-3906
(989) 430-8554
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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