Organization
GREAT LAKES DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS BRUCE WEBB D.D.S. (DENTIST)
(616) 784-6300
Entity
Organization
Contact information
Practice address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Mailing address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011152
MI
1223G0001X
General Practice Dentistry
2901019180
MI
Other
Enumeration date
01/10/2007
Last updated
05/12/2021
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