Individual
LAWRENCE E RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3055 44TH ST, GRANVILLE, MI 49418-2501
(616) 534-0080
(616) 534-2165
Mailing address
PO BOX 92, GRANDVILLE, MI 49468-0092
(616) 534-0080
(616) 534-2165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012339
MI
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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