| The Dental House Pllc | |
|
660 Croswell Ave. Se East Grand Rapids MI 49506 | |
| (616) 266-2611 | |
| (616) 282-1709 |
| Full Name | The Dental House Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 660 Croswell Ave. Se, East Grand Rapids, Michigan |
| Authorized Official Name and Position | Brockton Richard Willey (OWNER) |
| Authorized Official Contact | 6162662611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental House Pllc 660 Croswell Ave. Se East Grand Rapids MI 49506 Ph: (616) 266-2611 | The Dental House Pllc 660 Croswell Ave. Se East Grand Rapids MI 49506 Ph: (616) 266-2611 |
| NPI Number | 1386320257 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386320257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |