Pinerock,p.C.
Dentist, General Practice in Kentwood, MI. Organization (NPI-2).
NPI number1962467662
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1962467662
- Entity type
- Organization (NPI-2)
- Legal business name
- Pinerock,p.C.
- Organization subpart
- No
- Enumeration date
- Apr 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 011270 | MI | Yes |
Practice location
6650 Crossing Dr.SeKentwood, MI 49508
Phone 616-554-2100 · Fax 616-554-2104
Mailing address
6650 Crossing Dr.SeKentwood, MI 49508
Phone 616-554-2100 · Fax 616-554-2104
Authorized official
Robert Bowman
President
6165542100
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