Grand River Orthodontics, PC

NPI #1518269877 in Lowell, Michigan

Provider Information

NPI Number
1518269877
Entity Type
Organization
Organization Name
Grand River Orthodontics, PC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Nov 18, 2010
Last Updated
Nov 18, 2010

Practice Location

Address
1335 W MAIN ST
Address 2
SUITE D
City
Lowell
ZIP Code
49331-1555
Phone
(616) 897-0200

Authorized Official

Name
HEATHER GIETZEN
Title
PRESIDENT/ORTHODONTIST
Phone
(616) 879-0200

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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