OrganizationActive
616 Dental Studio PLLC
NPI 1720413636 · Dentist · Grand Rapids, MI
Provider details
- NPI number
- 1720413636
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Authorized official
- Marcos Cid, Dentist
- License
- 2901020846 (MI)
Mailing address
171 Monroe Ave Nw
Grand Rapids, MI 49503-2634
Registry dates
- Enumerated
- 2013-09-10
- Last updated
- 2013-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.