| Riverside Dentistry Pllc | |
|
207 W Main St Lowell MI 49331-1607 | |
| (616) 897-7179 | |
| (616) 897-7189 |
| Full Name | Riverside Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 207 W Main St, Lowell, Michigan |
| Authorized Official Name and Position | Min Suk Han (OWNER) |
| Authorized Official Contact | 7347302963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dentistry Pllc 731 Abbey Mill Ct Se Ada MI 49301-7714 Ph: (734) 730-2963 | Riverside Dentistry Pllc 207 W Main St Lowell MI 49331-1607 Ph: (616) 897-7179 |
| NPI Number | 1518682541 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 11/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518682541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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