Alpine Family Dentistry Acquisition Plc
NPI #1336753839 in Comstock Park, Michigan
Provider Information
- NPI Number
- 1336753839
- Entity Type
- Organization
- Organization Name
- Alpine Family Dentistry Acquisition Plc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 2, 2020
- Last Updated
- Sep 2, 2020
Practice Location
- Address
- 4040 ALPINE AVE NW
- City
- Comstock Park
- State
- Michigan
- ZIP Code
- 49321-8909
- Phone
- (616) 784-4777
Authorized Official
- Name
- BRUCE JACKSON II, DDS
- Title
- OWNER
- Phone
- (616) 784-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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