Organization
MI SMILES DENTAL COMSTOCK PARK PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ROGERS (DIRECTOR OF FINANCE)
(616) 379-4013
Entity
Organization
Contact information
Practice address
6440 ALPINE AVE NW STE B, COMSTOCK PARK, MI 49321-8002
(616) 784-3515
Mailing address
3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 379-4013
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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