Individual
COLIN WILLIAM PELLEGROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
575 ROBBINS RD, GRAND HAVEN, MI 49417-2695
(616) 842-2850
Mailing address
575 ROBBINS RD, GRAND HAVEN, MI 49417-2695
(616) 842-2850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601824
MI
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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