Organization
PROFESSIONAL DENTALCARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELE DIANE GRAY (DENTIST/OWNER)
(616) 363-3821
Entity
Organization
Contact information
Practice address
3303 GRAND RIDGE DR NE, GRAND RAPIDS, MI 49525-7033
(616) 363-3821
Mailing address
3303 GRAND RIDGE DR NE, GRAND RAPIDS, MI 49525-7033
(616) 363-3821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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