Midwest Implant Surgery Center

NPI #1154800357 in Jenison, Michigan

Provider Information

NPI Number
1154800357
Entity Type
Organization
Organization Name
Midwest Implant Surgery Center
Subpart
Yes (part of a larger organization)
Parent Organization
MIDWEST FAMILY DENTAL CARE
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 8, 2018
Last Updated
Aug 8, 2018

Practice Location

Address
2064 BALDWIN ST
ZIP Code
49428-8773
Phone
(616) 457-2299

Authorized Official

Name
MS. BRANDYNN MARIE BEAVER
Title
ADMIN
Phone
(616) 457-2299

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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