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Contact Information

LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC
921 S BEECHTREE ST STE 6A
GRAND HAVEN, MI49417-2385
 Phone: 616-935-7661
 Fax: 616-935-7664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC · (Female)

NPI # 1467195958
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2022
Last updated 04/14/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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