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Pediatric Dentistry Of Michigan Pllc
Pediatric Dentist in Grand Rapids, Michigan
NPI 1831702695

Pediatric Dentistry Of Michigan Pllc is a Pediatric Dentist based in Grand Rapids, MI and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Michigan Pllc practices in Grand Rapids, MI. The NPI Number for Pediatric Dentistry Of Michigan Pllc is 1831702695 and holds a License No. (Michigan).

The current practice location address for Pediatric Dentistry Of Michigan Pllc is 3297 Eagle Run Dr Ne, Grand Rapids, MI and can be reached out via phone at 917-597-6749.

Location: 3297 Eagle Run Dr Ne, Grand Rapids, MI, 49525-7050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831702695
Provider Name
Pediatric Dentistry Of Michigan Pllc
Credential
Provider Entity Type
Organization
Address
3297 Eagle Run Dr Ne, Grand Rapids, MI, 49525-7050
Phone Number
917-597-6749
Fax Number
Provider Enumeration Date
08/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3297 Eagle Run Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-7050
Phone Number
917-597-6749
Fax Number
person
Provider Business Mailing Address Details
Address
3297 Eagle Run Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-7050
Phone Number
917-597-6749
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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