| Dwight J Monsma Dds Pc | |
|
3521 Lake Eastbrook Blvd Se Grand Rapids MI 49546 | |
| (616) 942-9891 | |
| (616) 942-9891 |
| Full Name | Dwight J Monsma Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3521 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ewa Barbara Ostrowski (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 6169429891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight J Monsma Dds Pc 3521 Lake Eastbrook Blvd Se Grand Rapids MI 49546 Ph: (616) 942-9891 | Dwight J Monsma Dds Pc 3521 Lake Eastbrook Blvd Se Grand Rapids MI 49546 Ph: (616) 942-9891 |
| NPI Number | 1972679504 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972679504 | NPI | - | NPPES |
| 4063994 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901008106 (Michigan) | Primary |
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