DENTAL DESIGN P.C.
Dentist at Franklin St, Grand Rapids, MI

License number
Michigan 2901015828
Category
Dentist
Type
Dentist
Owner
Name: DR. TRACY ELAINE BLOUNT III D.D.S.
Title: PRESIDENT
Phone: (616) 452-0400
Address
Address
1014 Franklin St SE, Grand Rapids, MI 49507
National Provider ID: 1891892006
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DENTAL DESIGN PC

Grand Rapids, MI

Industry:
Dentist's Office
Doing business as:
Dental Design
Registration:
Jun 27, 1991
Phone:
(616) 452-0400 (Phone)
Addresses:
1014 Franklin SE, Grand Rapids, MI 49507 (Physical)
Michigan (Mailing)
State ID:
450087
Business type:
Domestic Professional Service Corporation
Managers:
Patricia Mathis (Principal),Tracy E. Blount (President, Principal),Stokes Jevena Manager, inactive
Agent:
Tracy E Blount Dds
Categories:
Dentists

Dentist licenses in Michigan