Organization
DENTAL GROUP ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PAPES (DIRECTOR OF OPERATIONS)
(616) 268-2092
Entity
Organization
Contact information
Practice address
4505 CASCADE RD SE # B, GRAND RAPIDS, MI 49546-8381
(616) 268-2090
Mailing address
128 COLUMBUS AVE, GRAND HAVEN, MI 49417-1224
(616) 268-2092
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
06/16/2020
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