Organization
CLORE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L. CLORE DMD (OWNER)
(616) 281-1331
Entity
Organization
Contact information
Practice address
334 68TH ST SW, GRAND RAPIDS, MI 49548-7179
(616) 281-1331
(616) 281-4276
Mailing address
334 68TH ST SW, GRAND RAPIDS, MI 49548-7179
(616) 281-1331
(616) 281-4276
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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