Grand Ledge Family Dentistry, Pllc
NPI #1972199156 in Grand Ledge, Michigan
Provider Information
- NPI Number
- 1972199156
- Entity Type
- Organization
- Organization Name
- Grand Ledge Family Dentistry, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 11, 2020
- Last Updated
- Dec 11, 2020
Practice Location
- Address
- 416 E RIVER ST
- City
- Grand Ledge
- State
- Michigan
- ZIP Code
- 48837-1764
- Phone
- (517) 627-9081
Authorized Official
- Name
- KYLE MULDER, DDS
- Title
- OWNER
- Phone
- (517) 881-0561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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