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Elias Dental Lab
Dental Clinic/Center in Grand Rapids, Michigan
NPI 1720685399

Elias Dental Lab is a Dental Clinic/Center based in Grand Rapids, MI and is specialized in Dental. Elias Dental Lab practices in Grand Rapids, MI. The NPI Number for Elias Dental Lab is 1720685399 and holds a License No. (Michigan).

The current practice location address for Elias Dental Lab is 535 Greenwood Ave Se Ste 100, Grand Rapids, MI and can be reached out via phone at 616-458-2048 and via fax at 616-458-1311.

Location: 535 Greenwood Ave Se Ste 100, Grand Rapids, MI, 49506-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720685399
Provider Name
Elias Dental Lab
Credential
Provider Entity Type
Organization
Address
535 Greenwood Ave Se Ste 100, Grand Rapids, MI, 49506-2901
Phone Number
616-458-2048
Fax Number
616-458-1311
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093930125 05 MI
institution
Provider Business Practice Location Address Details
Address
535 Greenwood Ave Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49506-2901
Phone Number
616-458-2048
Fax Number
616-458-1311
person
Provider Business Mailing Address Details
Address
535 Greenwood Ave Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49506-2901
Phone Number
616-458-2048
Fax Number
616-458-1311
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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