Individual
ELIZABETH A CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2750 BRETON RD SE, GRAND RAPIDS, MI 49546-8049
(616) 949-2591
Mailing address
2750 BRETON RD SE, GRAND RAPIDS, MI 49546-8049
(616) 949-2591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016733
MI
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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