Smile Cascade, P.c. | |
4505 Cascade Rd Se # A Grand Rapids MI 49546 | |
(616) 228-1210 | |
Not Available |
Full Name | Smile Cascade, P.c. |
---|---|
Speciality | Clinic/center - Dental |
Location | 4505 Cascade Rd Se # A, Grand Rapids, Michigan |
Authorized Official Name and Position | Darren M Riopelle (CEO) |
Authorized Official Contact | 6162682090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Cascade, P.c. 128 Columbus Ave Grand Haven MI 49417-1224 Ph: (616) 850-3970 | Smile Cascade, P.c. 4505 Cascade Rd Se # A Grand Rapids MI 49546 Ph: (616) 228-1210 |
NPI Number | 1679062772 |
---|---|
Provider Enumeration Date | 05/03/2018 |
Last Update Date | 06/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679062772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 16820 (Michigan) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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