Organization
GRAND RIVER ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH LENNAN MASTERSON DDS, MSD (OWNER/ENDODONTIST)
(616) 249-3500
Entity
Organization
Contact information
Practice address
4211 PARKWAY PLACE DR SW, SUITE 104, GRANDVILLE, MI 49418-2695
(616) 249-3500
(616) 249-3502
Mailing address
4211 PARKWAY PLACE DR SW, SUITE 104, GRANDVILLE, MI 49418-2695
(616) 249-3500
(616) 249-3502
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901019457
MI
Other
Enumeration date
10/07/2014
Last updated
09/30/2017
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