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An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dentistry |
1223P0221X |
| NPI # | 1174175996 |
| LBN Legal business name | GRAND RIVER PEDIATRIC DENTISTRY PLLC |
| Authorized official | MEGHAN CONDIT - (MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/11/2019 |
| Last updated | 12/18/2019 - About 6 years ago |
| Identifiers | n/a |
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GRAND RIVER PEDIATRIC DENTISTRY PLLC