Organization
EAST PARIS DENTAL PROFESSIONALS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL ELLIS DDS (OWNER/PRESIDENT)
(616) 949-7290
Entity
Organization
Contact information
Practice address
2060 E PARIS AVE SE, SUITE 210, GRAND RAPIDS, MI 49546-6501
(616) 949-7290
(616) 949-6108
Mailing address
2060 E PARIS AVE SE, SUITE 210, GRAND RAPIDS, MI 49546-6501
(616) 949-7290
(616) 949-6108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014927
MI
Other
Enumeration date
11/10/2005
Last updated
02/21/2013
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