Ivanrest Family Dentistry
NPI #1215483284 in Grandville, Michigan
Provider Information
- NPI Number
- 1215483284
- Entity Type
- Organization
- Organization Name
- Ivanrest Family Dentistry
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 30, 2016
- Last Updated
- Aug 30, 2016
Practice Location
- Address
- 3100 IVANREST AVE SW
- Address 2
- SUITE 105
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418-2955
- Phone
- (616) 538-3060
Authorized Official
- Name
- DR. ROBERT LEWIS EGGLESTON II, D.D.S.
- Title
- OWNER
- Phone
- (616) 538-3060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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