GRAND RIVER ORTHODONTICS, PC
Dentist at Main St, Lowell, MI

License number
Michigan 2901018802
Category
Dentist
Type
Orthodontics and Dentofacial Orthopedics
Owner
Name: HEATHER GIETZEN
Title: PRESIDENT/ORTHODONTIST
Phone: (616) 879-0200
Address
Address
1335 W Main St SUITE D, Lowell, MI 49331
National Provider ID: 1518269877
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRAND RIVER ORTHODONTICS, PC

1335 W Main St STE D, Lowell, MI 49331

Industry:
Dentist's Office
Registration:
May 19, 2010
Phone:
(616) 897-0200 (Phone)
State ID:
03274H
Business type:
Domestic Professional Service Corporation
Family And General Dentistry, President, President/orthodontist, Principal:
Heather Gietzen (Family And General Dentistry, President, President/orthodontist, Principal)
Agent:
Heather L Gietzen Dmd Ms
Categories:
Dentists, Orthodontics Dentists

Dentist licenses in Michigan