Samuel T. Bander, Dds, Plc
NPI #1265059570 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1265059570
- Entity Type
- Organization
- Organization Name
- Samuel T. Bander, Dds, Plc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 2, 2020
- Last Updated
- Jul 18, 2024
Practice Location
- Address
- 1151 E PARIS AVE SE STE 100
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-8369
- Phone
- (616) 949-5980
Authorized Official
- Name
- CARMEN BOLLINGER
- Title
- PRACTICE MANAGER
- Phone
- (616) 949-5980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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