MODERN PERIODONTICS
Dentist in Grand Rapids, MI

License number
Michigan 16791
Category
Dentist
Type
Periodontics
Owner
Name: MRS. ERIN NICOLE MOERDYKE
Title: OFFICE MANAGER
Phone: (616) 241-5658
Address
Address
2356 Street Suite #100, Grand Rapids, MI 49508
National Provider ID: 1679855761
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MODERN PERIODONTICS at bizstanding.com

MODERN PERIODONTICS, PC

Grand Rapids, MI

Registration:
Jan 19, 2011
Addresses:
4880 Cascade Rd STE B, Grand Rapids, MI 49546 (Physical)
Michigan (Mailing)
State ID:
03719Q
Business type:
Domestic Professional Service Corporation
Agent:
James C Papp Dmd

Modern Periodontics P C

4880 Cascade Rd SE, Grand Rapids, MI 49546

Industry:
Dentist's Office
Principal:
James Papp Principal, inactive

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