616 DENTAL STUDIO PLLC

GRAND RAPIDS, MI
NPI1720413636
Entity TypeOrganization
Authorized ContactMARCOS CID
Dentist
616-214-7865
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  2901020846)
Enumeration Date2013-09-10
Last Update Date2013-09-10
Business Address
616 DENTAL STUDIO PLLC
171 MONROE AVE NW
GRAND RAPIDS, MI 49503-2634
Phone number: 616-214-7865
Mailing Address
616 DENTAL STUDIO PLLC
171 MONROE AVE NW
GRAND RAPIDS, MI 49503-2634
Phone number: 616-214-7865