Organization
SEVA DENTAL MICHIGAN PC
Active
Other names
Grandville Dental Team
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROLNICKI (DIRECTOR OF REVENUE CYCLE)
(708) 372-4773
Entity
Organization
Contact information
Practice address
3100 WILSON AVE SW STE 3, GRANDVILLE, MI 49418-1200
(616) 534-7138
Mailing address
19518 LANCASTER DR, MOKENA, IL 60448-7838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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