Oral & Maxillofacial Surgery of Greater Grand Rapids LLC

NPI #1295375137 in Caledonia, Michigan

Provider Information

NPI Number
1295375137
Entity Type
Organization
Organization Name
Oral & Maxillofacial Surgery of Greater Grand Rapids LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 8, 2020
Last Updated
Jan 8, 2020

Practice Location

Address
9021 N RODGERS CT SE STE A
ZIP Code
49316-7650
Phone
(616) 891-1700

Authorized Official

Name
BRADLEY G VANHOOSE GARRETT VANHOOSE, DDS MS
Title
ORAL SURGEON
Phone
(616) 891-1700

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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