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Organization

DENNIS W NAGEL DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS WILLIAM NAGEL DDS (PRESIDENT)
(616) 942-8461
Entity
Organization

Contact information

Practice address
2100 RAYBROOK DR SE, SUITE 105, GRAND RAPIDS, MI 49546
(616) 942-8461
(616) 942-2311
Mailing address
2100 RAYBROOK DR SE, SUITE 105, GRAND RAPIDS, MI 49546
(616) 942-8461
(616) 942-2311

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010714
MI

Other

Enumeration date
12/04/2006
Last updated
08/22/2020
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