Thomas J. Harmon D.d.s. | |
3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 | |
(616) 949-2650 | |
(616) 222-0747 |
Full Name | Thomas J. Harmon D.d.s. |
---|---|
Speciality | Dentist - General Practice |
Location | 3575 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Thomas J Harmon (OWNER) |
Authorized Official Contact | 6169492650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas J. Harmon D.d.s. 3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 Ph: (616) 949-2650 | Thomas J. Harmon D.d.s. 3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 Ph: (616) 949-2650 |
NPI Number | 1396090619 |
---|---|
Provider Enumeration Date | 07/24/2012 |
Last Update Date | 08/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396090619 | NPI | - | NPPES |
4055750 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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