Organization
LEONARD J BARTOSZEWICZ, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY MARIE ANDERSON (OFFICE MANAGER)
(616) 245-9830
Entity
Organization
Contact information
Practice address
2003 BURTON ST SE, GRAND RAPIDS, MI 49506-4600
(616) 245-9830
(616) 245-5026
Mailing address
2003 BURTON ST SE, GRAND RAPIDS, MI 49506-4600
(616) 245-9830
(616) 245-5026
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20171208833958
—
MI
Enumeration date
09/09/2020
Last updated
09/09/2020
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