Organization
GLDE, PLLC
Active
Other names
Great Lakes Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BETH HEGEDUS (PRAC ADMIN)
(231) 799-0404
Entity
Organization
Contact information
Practice address
5978 HARVEY ST, MUSKEGON, MI 49444-6720
(231) 799-0404
(231) 799-0014
Mailing address
5978 HARVEY ST, MUSKEGON, MI 49444-6720
(231) 799-0404
(231) 799-0014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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