Organization
BRIAN K CARPENTER DDS
Active
Other names
Carpenter Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CARPENTER DDS (OWNER/DENTIST)
(616) 949-2591
Entity
Organization
Contact information
Practice address
2750 BRETON RD SE, GRAND RAPIDS, MI 49546-8052
(616) 949-2591
Mailing address
6521 SCARBOROUGH DR SE, ADA, MI 49301-9144
(616) 949-2591
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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