| Oral Surgery Associates, Pc | |
|
2144 E Paris Ave Se Ste 150 Grand Rapids MI 49546-6126 | |
| (616) 942-2000 | |
| (616) 942-6805 |
| Full Name | Oral Surgery Associates, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2144 E Paris Ave Se Ste 150, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kenneth J Mulder (PRESIDENT) |
| Authorized Official Contact | 6169422000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates, Pc 2144 E Paris Ave Se Ste 150 Grand Rapids MI 49546-6126 Ph: (616) 942-2000 | Oral Surgery Associates, Pc 2144 E Paris Ave Se Ste 150 Grand Rapids MI 49546-6126 Ph: (616) 942-2000 |
| NPI Number | 1033223250 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033223250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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