Organization
SMILE NORTH MUSKEGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PAPES (PRACTICE OPERATIONS)
(616) 268-2092
Entity
Organization
Contact information
Practice address
1915 HOLTON RD STE C, NORTH MUSKEGON, MI 49445-1533
(231) 719-0033
Mailing address
128 COLUMBUS AVE, GRAND HAVEN, MI 49417-1224
(616) 268-2090
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
06/16/2020
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