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Grand River Pediatric Dentistry Pllc
Pediatric Dentist in Jenison, Michigan
NPI 1174175996

Grand River Pediatric Dentistry Pllc is a Pediatric Dentist based in Jenison, MI and is specialized in Pediatric Dentistry. Grand River Pediatric Dentistry Pllc practices in Jenison, MI. The NPI Number for Grand River Pediatric Dentistry Pllc is 1174175996 and holds a License No. (Michigan).

The current practice location address for Grand River Pediatric Dentistry Pllc is 7758 20Th Ave, Jenison, MI and can be reached out via phone at 734-250-4494.

Location: 7758 20Th Ave, Jenison, MI, 49428-8524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174175996
Provider Name
Grand River Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
7758 20Th Ave, Jenison, MI, 49428-8524
Phone Number
734-250-4494
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7758 20Th Ave
City
Jenison
State
Michigan
Zip
49428
Phone Number
734-250-4494
Fax Number
person
Provider Business Mailing Address Details
Address
7758 20Th Ave
City
Jenison
State
Michigan
Zip
49428
Phone Number
734-250-4494
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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