Individual
DR. DANIEL WAYNE GRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1726 LEONARD ST NE, GRAND RAPIDS, MI 49505-5636
(616) 459-0478
Mailing address
1726 LEONARD ST NE, GRAND RAPIDS, MI 49505-5636
(616) 459-0478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020910
MI
Other
Enumeration date
05/22/2013
Last updated
03/18/2020
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