Organization
TRINITY HEALTH - MICHIGAN
Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Mercy Health Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH - MICHIGAN
Authorized official
ROBERT KAMPHUIS (OPERATIONS DIRECTOR)
(616) 685-3819
Entity
Organization
Contact information
Practice address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 685-4700
Mailing address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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