| Okemos Dental, Pllc | |
|
4874 Montrose Ave Okemos MI 48864-1618 | |
| (517) 349-3110 | |
| (517) 349-4693 |
| Full Name | Okemos Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4874 Montrose Ave, Okemos, Michigan |
| Authorized Official Name and Position | Kevin Grimm (ASSOCIATE) |
| Authorized Official Contact | 5173493110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Okemos Dental, Pllc 4874 Montrose Ave Okemos MI 48864-1618 Ph: (517) 349-3110 | Okemos Dental, Pllc 4874 Montrose Ave Okemos MI 48864-1618 Ph: (517) 349-3110 |
| NPI Number | 1528686177 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528686177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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