Modern Periodontics
Modern Periodontics is a Periodontics in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
Practice location Address checks out
2356 32nd St Ste #100Grand Rapids, MI 49508-1510
Phone: (616) 241-5658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 16791 (MI) |
|---|
Record details
| NPI number | 1679855761 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erin Moerdyke — Office Manager · (616) 241-5658 |
| NPI enumerated | September 14, 2011 |
| Last updated in NPPES | September 14, 2011 |
| Mailing address | 2356 32nd Street, Suite #100, Grand Rapids, MI 49508 |
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