Organization
GRAND VALLEY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMY G MICHAEL D.D.S. (DENTIST)
(616) 457-2299
Entity
Organization
Contact information
Practice address
2064 BALDWIN ST, JENISON, MI 49428-8773
(616) 457-2299
(616) 457-1353
Mailing address
2064 BALDWIN ST, JENISON, MI 49428-8773
(616) 457-2299
(616) 457-1353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08282
MI
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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