Organization
HART FAMILY DENTISTRY PLLC
Active
Other names
Hart Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT KURTIS GILLISH DDS (DENTIST/OWNER)
(231) 873-4025
Entity
Organization
Contact information
Practice address
110 S DRYDEN ST, HART, MI 49420-1105
(231) 873-4025
Mailing address
110 S DRYDEN ST, HART, MI 49420-1105
(231) 873-4025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/23/2020
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