Organization
HEATHER J. CADORETTE DDS PLLC
Active
Other names
85 West Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HUDSON (BUSINESS ADMINISTRATOR)
(616) 884-5884
Entity
Organization
Contact information
Practice address
190 MARCELL DR NE, ROCKFORD, MI 49341-1300
(616) 884-5884
(616) 884-5888
Mailing address
190 MARCELL DR NE, ROCKFORD, MI 49341-1300
(616) 884-5884
(616) 884-5888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588873509
—
MI
Enumeration date
02/08/2018
Last updated
01/03/2024
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