Organization
GREENVILLE FAMILY DENTAL, PLC
Active
Other names
Greenville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MEACHUM DDS (OWNER)
(616) 754-8631
Entity
Organization
Contact information
Practice address
1717 W WASHINGTON ST, GREENVILLE, MI 48838-2625
(616) 754-8631
Mailing address
1717 W WASHINGTON ST, GREENVILLE, MI 48838-2625
(616) 754-8631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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