East Paris Dental Professionals Plc

NPI #1942281480 in Grand Rapids, Michigan

Provider Information

NPI Number: 1942281480
Entity Type: Organization
Organization Name: East Paris Dental Professionals Plc
Primary Specialty: Dentist
Enumeration Date: Nov 10, 2005
Last Updated: Feb 21, 2013

Practice Location

Address: 2060 E PARIS AVE SE
Address 2: SUITE 210
City: Grand Rapids
State: Michigan
ZIP Code: 49546-6501
Phone: (616) 949-7290

Authorized Official

Name: DR. JOSEPH MICHAEL ELLIS, DDS
Title: OWNER/PRESIDENT
Phone: (616) 949-7290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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