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1306213814
GAINES PEDIATRIC DENTISTRY PLLC
GRAND RAPIDS, MI
NPI
1306213814
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Entity Type
Organization
Authorized Contact
DANIEL OCALLAGHAN
Member
616-375-7467
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
GAINES PEDIATRIC DENTISTRY PLLC
1559 68TH ST SE
GRAND RAPIDS, MI 49508-7015
Phone number: 616-258-2005
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Mailing Address
GAINES PEDIATRIC DENTISTRY PLLC
1100 GIDDINGS AVE SE
GRAND RAPIDS, MI 49506-3255
Phone number:
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