Individual
MICHAEL LYNN RIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 S BEACON BLVD, GRAND HAVEN, MI 49417-2143
(616) 846-6050
Mailing address
616 S BEACON BLVD, GRAND HAVEN, MI 49417-2143
(616) 846-6050
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901009296
MI
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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