Organization · Type 2 NPI
Grand River Pediatric Dentistry PLLC
Pediatric Dentistry · Jenison, MI
NPI number
1174175996
Active
Practice location
7758 20th Ave
Jenison, MI 49428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1174175996
Grand River Pediatric Dentistry PLLC's National Provider Identifier is 1174175996, issued on Jul 11, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jenison, MI. The record was last updated on Dec 18, 2019.