institution
Lake Odessa Dental, Pllc
Dental Clinic/Center in Lake Odessa, Michigan
NPI 1851889471

Lake Odessa Dental, Pllc is a Dental Clinic/Center based in Grand Rapids, MI and is specialized in Dental. Lake Odessa Dental, Pllc practices in Lake Odessa, MI. The NPI Number for Lake Odessa Dental, Pllc is 1851889471 and holds a License No. (Michigan).

The current practice location address for Lake Odessa Dental, Pllc is 1032 4Th Ave, Lake Odessa, MI and can be reached out via phone at 616-374-8828 and via fax at 616-374-7934. You can also correspond with Lake Odessa Dental, Pllc through the mailing address at 2101 SAN LU RAE DR SE, GRAND RAPIDS, MI - 49506-3425 (mailing address contact number: 616-560-3625).

Location: 1032 4Th Ave, Lake Odessa, MI, 49506-3425
institution
Provider Profile Details
NPI Number
1851889471
Provider Name
Lake Odessa Dental, Pllc
Credential
Provider Entity Type
Organization
Address
1032 4Th Ave, Lake Odessa, MI, 49506-3425
Phone Number
616-374-8828
Fax Number
616-374-7934
Provider Enumeration Date
04/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1032 4Th Ave
City
State
Zip
48849-1004
Phone Number
616-374-8828
Fax Number
616-374-7934
person
Provider Business Mailing Address Details
Address
2101 San Lu Rae Dr Se
City
State
Zip
49506-3425
Phone Number
616-560-3625
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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