Organization
D&M HISPANIC DENTAL OFFICE BLDG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIGIA M CASTANOS (OWNER / MANAGER)
(616) 301-0799
Entity
Organization
Contact information
Practice address
840 BROOKVILLE PLZ SE, GRAND RAPIDS, MI 49508-1315
(616) 301-0799
(616) 301-2130
Mailing address
840 BROOKVILLE PLZ SE, GRAND RAPIDS, MI 49508-1315
(616) 301-0799
(616) 301-2130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MI
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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