| Aspen Dental Of Michigan Pc | |
|
4391 Canal Ave Sw Grandville MI 49418-2680 | |
| (616) 530-3900 | |
| Not Available |
| Full Name | Aspen Dental Of Michigan Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4391 Canal Ave Sw, Grandville, Michigan |
| Authorized Official Name and Position | Isam Hamati (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Of Michigan Pc 281 Sanders Creek Pkwy East Syracuse NY 13057-1307 Ph: () - | Aspen Dental Of Michigan Pc 4391 Canal Ave Sw Grandville MI 49418-2680 Ph: (616) 530-3900 |
| NPI Number | 1285813832 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285813832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019539 (Michigan) | Primary |
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