| Tough Teeth & Great Gums | |
|
1866 10 Mile Rd Ne Comstock Park MI 49321-9669 | |
| (616) 460-6369 | |
| Not Available |
| Full Name | Tough Teeth & Great Gums |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1866 10 Mile Rd Ne, Comstock Park, Michigan |
| Authorized Official Name and Position | Amy Elizabeth Broekstra (DIRECTOR) |
| Authorized Official Contact | 6164606369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tough Teeth & Great Gums 1866 10 Mile Rd Ne Comstock Park MI 49321-9669 Ph: (616) 460-6369 | Tough Teeth & Great Gums 1866 10 Mile Rd Ne Comstock Park MI 49321-9669 Ph: (616) 460-6369 |
| NPI Number | 1104073410 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104073410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 2901010721 (Michigan) | Primary |
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