Grand River Pediatric Dentistry Pllc

NPI #1174175996 in Jenison, Michigan

Provider Information

NPI Number
1174175996
Entity Type
Organization
Organization Name
Grand River Pediatric Dentistry Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jul 11, 2019
Last Updated
Dec 18, 2019

Practice Location

Address
7758 20TH AVE
ZIP Code
49428
Phone
(734) 250-4494

Authorized Official

Name
DR. MEGHAN DUBOIS CONDIT, DDS
Title
MEMBER
Phone
(734) 250-4494

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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