Organization
GENTLE DENTAL GRAND RIVER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
13874 GRAND RIVER AVE, DETROIT, MI 48227-3123
(313) 834-4900
(313) 835-1334
Mailing address
13874 GRAND RIVER AVE, DETROIT, MI 48227-3123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
02/21/2011
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