Grapevine Denture Service
NPI #1902019623 in Traverse City, Michigan
Provider Information
- NPI Number
- 1902019623
- Entity Type
- Organization
- Organization Name
- Grapevine Denture Service
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 865 US HIGHWAY 31 S
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-8716
- Phone
- (231) 943-8409
Authorized Official
- Name
- JACK D ROSS, D.D.S.
- Title
- DENTIST
- Phone
- (231) 943-8409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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