The Dental House Pllc
NPI #1386320257 in East Grand Rapids, Michigan
Provider Information
- NPI Number
- 1386320257
- Entity Type
- Organization
- Organization Name
- The Dental House Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 26, 2023
- Last Updated
- Jun 26, 2023
Practice Location
- Address
- 660 CROSWELL AVE. SE
- State
- Michigan
- ZIP Code
- 49506
- Phone
- (616) 266-2611
Authorized Official
- Name
- BROCKTON RICHARD WILLEY, DDS
- Title
- OWNER
- Phone
- (616) 266-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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