| W&w Dentistry | |
|
2000 43rd St Se Suite C Grand Rapids MI 49508-8700 | |
| (616) 455-4108 | |
| Not Available |
| Full Name | W&w Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2000 43rd St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Brian A Wiedemer (MEMBER) |
| Authorized Official Contact | 6164554108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W&w Dentistry 2000 43rd St Se Suite C Grand Rapids MI 49508-8700 Ph: (616) 455-4108 | W&w Dentistry 2000 43rd St Se Suite C Grand Rapids MI 49508-8700 Ph: (616) 455-4108 |
| NPI Number | 1003229659 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003229659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019908 (Michigan) | Secondary |
| 122300000X | Dentist | 2901019234 (Michigan) | Primary |
Karen A O Rourke Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952 | |
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