Organization
SMILE ORTHODONTICS BILLING LLC
Active
Parent organization
SMILE GRAND HAVEN PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILE GRAND HAVEN PC
Authorized official
DARREN RIOPELLE (OWNER)
(616) 850-3970
Entity
Organization
Contact information
Practice address
1203 S BEECHTREE ST, GRAND HAVEN, MI 49417-2839
(616) 850-3970
Mailing address
1203 S BEECHTREE ST, GRAND HAVEN, MI 49417-2839
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021442
MI
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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