Smiles of Grand River Pllc
NPI #1710341102 in New Hudson, Michigan
Provider Information
- NPI Number
- 1710341102
- Entity Type
- Organization
- Organization Name
- Smiles of Grand River Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 12, 2016
- Last Updated
- Apr 12, 2016
Practice Location
- Address
- 55840 GRAND RIVER AVE
- Address 2
- SUITE 350
- City
- New Hudson
- State
- Michigan
- ZIP Code
- 48165-9717
- Phone
- (734) 707-8764
Authorized Official
- Name
- DR. JAMES SHAHEEN, D.D.S.
- Title
- PRESIDENT
- Phone
- (248) 561-0316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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