Organization
SMILE CASCADE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN M RIOPELLE (CEO)
(616) 268-2090
Entity
Organization
Contact information
Practice address
4505 CASCADE RD SE # A, GRAND RAPIDS, MI 49546
(616) 228-1210
Mailing address
128 COLUMBUS AVE, GRAND HAVEN, MI 49417-1224
(616) 850-3970
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16820
MI
261QD0000X
Dental Clinic/Center
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Other
Enumeration date
05/03/2018
Last updated
06/05/2018
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