Organization
BALDWIN LAKE DENTAL PC
Active
Other names
Baldwin Lake Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LEVIN (DENTIST)
(616) 754-2800
Entity
Organization
Contact information
Practice address
322 S LAFAYETTE ST STE A, GREENVILLE, MI 48838-1965
(616) 754-2800
Mailing address
322 S LAFAYETTE ST STE A, GREENVILLE, MI 48838-1965
(616) 754-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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