Organization
PETER A GARCHOW DDS PC
Active
Other names
Dental South
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY VANTIL (ACCOUNT MANAGER)
(616) 538-9020
Entity
Organization
Contact information
Practice address
630 36TH ST SW, GRAND RAPIDS, MI 49509-4100
(616) 538-9020
(616) 538-5353
Mailing address
630 36TH ST SW, GRAND RAPIDS, MI 49509-4100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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