| Brian M Grisdela Dds Pllc | |
|
214 N Bridge St Dimondale MI 48821-9233 | |
| (517) 646-8226 | |
| Not Available |
| Full Name | Brian M Grisdela Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 214 N Bridge St, Dimondale, Michigan |
| Authorized Official Name and Position | Brian Michael Grisdela (GENERAL DENTIST) |
| Authorized Official Contact | 5174490005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian M Grisdela Dds Pllc 3854 Fossum Ln Okemos MI 48864-2491 Ph: (517) 449-0005 | Brian M Grisdela Dds Pllc 214 N Bridge St Dimondale MI 48821-9233 Ph: (517) 646-8226 |
| NPI Number | 1093499121 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093499121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Family Dental Care Of Dimondale, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 N Bridge St, Dimondale, MI 48821 Phone: 517-646-8226 Fax: 517-646-7545 |