Organization
GRAND HAVEN SMILES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ROGERS (DIRECTOR OF FINANCE)
(616) 669-6600
Entity
Organization
Contact information
Practice address
17168 TIMBERVIEW DR, STE B, GRAND HAVEN, MI 49417
(616) 842-1188
(616) 777-0026
Mailing address
17168 TIMBERVIEW DR, STE B, GRAND HAVEN, MI 49417
(616) 842-1188
(616) 777-0026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011799
MI
Other
Enumeration date
04/14/2016
Last updated
01/15/2021
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