Organization
FAMILY DENTISTRY OF CALEDONIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L SCOTT DDS (PRESIDENT)
(616) 891-0004
Entity
Organization
Contact information
Practice address
9021 N RODGERS CT SE, SUITE E, CALEDONIA, MI 49316-7649
(616) 891-0004
(616) 891-5170
Mailing address
9021 N RODGERS CT SE, SUITE E, CALEDONIA, MI 49316-7649
(616) 891-0004
(616) 891-5170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016954
MI
Other
Enumeration date
03/13/2007
Last updated
08/11/2008
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