Dr Daniel Roberts PLLC
Clinic/Center, Dental in Grand Rapids, MI. Organization (NPI-2).
NPI number1790242550
StatusActive
Last updated in NPPESFeb 27, 2019
Details
- NPI
- 1790242550
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Daniel Roberts PLLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2019
- Last updated
- Feb 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Woodmeadow Dentistry (Doing Business As)
Practice location
2554 Woodmeadow Dr SeGrand Rapids, MI 49546-8033
Phone 616-957-0303 · Fax 616-957-2732
Mailing address
2554 Woodmeadow Dr SeGrand Rapids, MI 49546-8033
Phone 616-957-0303 · Fax 616-957-2732
Authorized official
Theresa Fellows
Office Manager
6169570303
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