Dental Group West, P.c.
NPI #1164680971 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1164680971
- Entity Type
- Organization
- Organization Name
- Dental Group West, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 29, 2008
- Last Updated
- May 29, 2008
Practice Location
- Address
- 1063 4 MILE RD NW
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49544-7398
- Phone
- (616) 785-3344
Authorized Official
- Name
- RICKEY L VAN SWEDEN
- Title
- PRESIDENT
- Phone
- (616) 785-3344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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