Organization
REM DDS, LLC
Active
Parent organization
REM DDS, LLC
Other names
Emergency Dental of Grand Rapids
Organization subpart
Yes
Provider details
NPI number
Legal business name
REM DDS, LLC
Authorized official
RIKKI LIEBERTH (MANAGER)
(402) 505-6843
Entity
Organization
Contact information
Practice address
847 PARCHMENT DR SE STE 110, GRAND RAPIDS, MI 49546-2377
(616) 856-4911
Mailing address
6606 S 168TH ST STE 100, OMAHA, NE 68135-5420
(402) 505-6843
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
07/26/2023
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