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Organization

THE DENTAL HOUSE PLLC

Active
Other names
The Dental House
Organization subpart
No

Provider details

NPI number
Authorized official
BROCKTON RICHARD WILLEY DDS (OWNER)
(616) 266-2611
Entity
Organization

Contact information

Practice address
660 CROSWELL AVE. SE, EAST GRAND RAPIDS, MI 49506
(616) 266-2611
(616) 282-1709
Mailing address
660 CROSWELL AVE. SE, EAST GRAND RAPIDS, MI 49506
(616) 266-2611
(616) 282-1709

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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