Organization
MEL TROTTER MINISTRIES DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON OOSTING (CFO)
(616) 588-8773
Entity
Organization
Contact information
Practice address
225 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4107
(616) 588-8796
Mailing address
225 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4107
(616) 588-8796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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