GRANDVILLE ENDODONTICS

GRANDVILLE, MI
NPI1508031808
Entity TypeOrganization
Authorized ContactBRIAN JOSEPH LICARI
President
616-531-0780
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
Enumeration Date2008-04-28
Last Update Date2008-04-28
Business Address
GRANDVILLE ENDODONTICS
3100 IVANREST AVE SW SUITE 104
GRANDVILLE, MI 49418-2930
Phone number: 616-531-0780
Mailing Address
GRANDVILLE ENDODONTICS
3100 IVANREST AVE SW SUITE 104
GRANDVILLE, MI 49418-2930
Phone number: 616-531-0780