GRAND RIVER PEDIATRIC DENTISTRY PLLC

JENISON, MI
NPI1174175996
Entity TypeOrganization
Authorized ContactMEGHAN DUBOIS CONDIT
Member
734-250-4494
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2019-07-11
Last Update Date2019-12-18
Business Address
GRAND RIVER PEDIATRIC DENTISTRY PLLC
7758 20TH AVE
JENISON, MI 49428
Phone number: 734-250-4494
Mailing Address
GRAND RIVER PEDIATRIC DENTISTRY PLLC
7758 20TH AVE
JENISON, MI 49428-8524
Phone number: 616-777-3300
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