Organization
JENISON FAMILY DENISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SCHROEDER (PRACTICE MANAGER)
(248) 674-0495
Entity
Organization
Contact information
Practice address
597 BALDWIN ST, JENISON, MI 49428-7994
(616) 457-0450
Mailing address
597 BALDWIN ST, JENISON, MI 49428-7994
(616) 457-0450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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