Organization
AFFORDABLE DENTURES & IMPLANTS - GRANDVILLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLACE WALKER (DDS/PRACTICE OWNER)
(616) 249-2603
Entity
Organization
Contact information
Practice address
4485 CANAL AVE SW STE C600, GRANDVILLE, MI 49418-2691
(616) 249-2603
Mailing address
4485 CANAL AVE SW STE C600, GRANDVILLE, MI 49418-2691
(616) 249-2603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012881
MI
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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