Ideal Dentistry Of Norton Shores
Clinic/Center, Dental in Norton Shores, MI. Organization (NPI-2).
NPI number1013591908
StatusActive
Last updated in NPPESMay 7, 2021
Details
- NPI
- 1013591908
- Entity type
- Organization (NPI-2)
- Legal business name
- Ideal Dentistry Of Norton Shores
- Organization subpart
- No
- Enumeration date
- May 7, 2021
- Certification date
- May 7, 2021
- Last updated
- May 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
755 Seminole Rd Ste 102Norton Shores, MI 49441-6561
Phone 231-780-1100
Mailing address
755 Seminole Rd Ste 102Norton Shores, MI 49441-6561
Phone 231-780-1100
Authorized official
Amanda Robertson
Dentist
9893131843
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All 9 Dental Clinic/Center providers in Norton Shores · All 613 providers in Norton Shores
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