Individual
LEVI LYNN SCHANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 CHERRY ST SE, GRAND RAPIDS, MI 49503-4748
(616) 776-2421
Mailing address
7475 S M 66 HWY, NASHVILLE, MI 49073-9425
(517) 852-2236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019837
MI
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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