| Mark A Osenieks Dds Pc | |
| 
					O-11225 Tallmadge Woods Dr Nw Grand Rapids MI 49534-6313  | |
| (616) 453-0002 | |
| Not Available | 
| Full Name | Mark A Osenieks Dds Pc | 
|---|---|
| Speciality | Dentist | 
| Location | O-11225 Tallmadge Woods Dr Nw, Grand Rapids, Michigan | 
| Authorized Official Name and Position | Mark A Osenieks (PRESIDENT) | 
| Authorized Official Contact | 6164530002 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark A Osenieks Dds Pc O-11225 Tallmadge Woods Dr Nw Grand Rapids MI 49534-6313 Ph: (616) 453-0002  | Mark A Osenieks Dds Pc O-11225 Tallmadge Woods Dr Nw Grand Rapids MI 49534-6313 Ph: (616) 453-0002  | 
| NPI Number | 1134425408 | 
|---|---|
| Provider Enumeration Date | 02/04/2011 | 
| Last Update Date | 02/04/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134425408 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 2901016297 (Michigan) | Primary | 
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