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Individual

GRACE STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
5749 28TH ST SE, GRAND RAPIDS, MI 49546-6903
(231) 313-6488
Mailing address
601 BOND AVE NW UNIT 1308, GRAND RAPIDS, MI 49503-1494
(231) 313-6488

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5315249858
MI

Other

Enumeration date
07/01/2024
Last updated
07/01/2024
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