Great Lakes Bay Orthodontics, Plc

NPI #1336782135 in Midland, Michigan

Provider Information

NPI Number
1336782135
Entity Type
Organization
Organization Name
Great Lakes Bay Orthodontics, Plc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Oct 24, 2019
Last Updated
Oct 24, 2019

Practice Location

Address
200 NORTHGATE DR
ZIP Code
48640-7344
Phone
(989) 631-1334

Authorized Official

Name
ANDREW GRILLO, DDS, MSD
Title
ORTHODONTIST
Phone
(989) 600-8037

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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