Organization · Type 2 NPI
Benton Family Dental PC
Dental Clinic/Center · Grand Rapids, MI
NPI number
1699154153
Active
Practice location
3299 Clear Vista Ct NE, Ste A
Grand Rapids, MI 49525
Fax (616) 361-9823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 014521 (MI) |
Dental Clinic/Center: Definition to come...
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About NPI 1699154153
Benton Family Dental PC's National Provider Identifier is 1699154153, issued on May 29, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 29, 2024.