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Randall W. Chambers, Dds, Pc
Dental Clinic/Center in Grand Rapids, Michigan
NPI 1801060702

Randall W. Chambers, Dds, Pc is a Dental Clinic/Center based in Grand Rapids, MI and is specialized in Dental. Randall W. Chambers, Dds, Pc practices in Grand Rapids, MI. The NPI Number for Randall W. Chambers, Dds, Pc is 1801060702 and holds a License No. 17046 (Michigan).

The current practice location address for Randall W. Chambers, Dds, Pc is 6143 28Th St Se, Grand Rapids, MI and can be reached out via phone at 616-949-4650 and via fax at 616-949-5377.

Location: 6143 28Th St Se, Grand Rapids, MI, 49546-6941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801060702
Provider Name
Randall W. Chambers, Dds, Pc
Credential
Provider Entity Type
Organization
Address
6143 28Th St Se, Grand Rapids, MI, 49546-6941
Phone Number
616-949-4650
Fax Number
616-949-5377
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598772972 01 MI INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
6143 28Th St Se
City
Grand Rapids
State
Michigan
Zip
49546-6941
Phone Number
616-949-4650
Fax Number
616-949-5377
person
Provider Business Mailing Address Details
Address
6143 28Th St Se
City
Grand Rapids
State
Michigan
Zip
49546-6941
Phone Number
616-949-4650
Fax Number
616-949-5377
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
17046 (Michigan)
Definition
Definition to come...
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