Organization
SMILIE'S PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EUGENE LADUE III DDS (OWNER/DENTIST)
(616) 455-4646
Entity
Organization
Contact information
Practice address
2017 EASTCASTLE DRIVE SE, SUITE A, GRAND RAPIDS, MI 49508-8872
(616) 455-4646
(616) 455-6024
Mailing address
2017 EASTCASTLE DRIVE SE, SUITE A, GRAND RAPIDS, MI 49508-8872
(616) 455-4646
(616) 455-6024
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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