Dj Edgerle, Dds, PC
NPI #1295360428 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1295360428
- Entity Type
- Organization
- Organization Name
- Dj Edgerle, Dds, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Mar 9, 2020
Practice Location
- Address
- 751 KENMOOR AVE SE STE G
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-2391
- Phone
- (616) 949-2720
Authorized Official
- Name
- DR. DEFOE J EDGERLE, DDS
- Title
- OWNER
- Phone
- (616) 949-2720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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