Organization
GRAND RAPIDS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN PALMATEER DMD (OWNER)
(810) 650-3511
Entity
Organization
Contact information
Practice address
4701 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1644
(616) 364-8716
Mailing address
212 PECAN DR, SUMMERVILLE, SC 29483-4918
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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