Individual
DR. CHAD M ZILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1203 S BEECHTREE ST, GRAND HAVEN, MI 49417-2839
(734) 548-0059
Mailing address
13376 GREENLEAF LN, GRAND HAVEN, MI 49417-9453
(734) 548-0059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
290120018
MI
122300000X
Dentist
DEN - 10260
CO
122300000X
Dentist
DN013917
GA
Other
Enumeration date
05/14/2009
Last updated
09/18/2018
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