| Eric Groeneveld DDS, P.C. | |
|
68720 S Main St Richmond MI 48062-1295 | |
| (586) 727-0990 | |
| (586) 727-4872 |
| Full Name | Eric Groeneveld DDS, P.C. |
|---|---|
| Speciality | Dentist |
| Location | 68720 S Main St, Richmond, Michigan |
| Authorized Official Name and Position | Eric P Groeneveld (PRESIDENT) |
| Authorized Official Contact | 5867270990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Groeneveld DDS, P.C. 68720 S Main St Richmond MI 48062-1295 Ph: (586) 727-0990 | Eric Groeneveld DDS, P.C. 68720 S Main St Richmond MI 48062-1295 Ph: (586) 727-0990 |
| NPI Number | 1376875161 |
|---|---|
| Provider Enumeration Date | 02/04/2010 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376875161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019902 (Michigan) | Primary |
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Eric Groeneveld DDS, PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 68720 S Main St, Richmond, MI 48062 Phone: 586-727-0990 |