| NPI | 1326764333 |
|---|---|
| Doing Business As | EMERGENCY DENTAL OF GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | RIKKI LIEBERTH Manager 402-505-6843 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-07-26 |