| D&m Hispanic Dental Office Bldg Llc | |
| 
					840 Brookville Plz Se Grand Rapids MI 49508-1315  | |
| (616) 301-0799 | |
| (616) 301-2130 | 
| Full Name | D&m Hispanic Dental Office Bldg Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 840 Brookville Plz Se, Grand Rapids, Michigan | 
| Authorized Official Name and Position | Ligia M Castanos (OWNER / MANAGER) | 
| Authorized Official Contact | 6163010799 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| D&m Hispanic Dental Office Bldg Llc 840 Brookville Plz Se Grand Rapids MI 49508-1315 Ph: (616) 301-0799  | D&m Hispanic Dental Office Bldg Llc 840 Brookville Plz Se Grand Rapids MI 49508-1315 Ph: (616) 301-0799  | 
| NPI Number | 1720239189 | 
|---|---|
| Provider Enumeration Date | 10/03/2008 | 
| Last Update Date | 10/03/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720239189 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (Michigan) | Primary | 
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Karen A O Rourke Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952  | |
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Oral Surgery Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se Ste 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805  | |
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