Organization
WATER'S EDGE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY ROLAND PAINE D.D.S. (OWNER)
(231) 723-7957
Entity
Organization
Contact information
Practice address
504 WATER ST, MANISTEE, MI 49660-1544
(231) 723-7957
(231) 723-3230
Mailing address
504 WATER ST, MANISTEE, MI 49660-1544
(231) 723-7957
(231) 723-3230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13927
MI
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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