| Dental Office | |
|
170 College Ave #220 Holland MI 49423 | |
| (616) 392-2302 | |
| (616) 392-9060 |
| Full Name | Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 170 College Ave, Holland, Michigan |
| Authorized Official Name and Position | Douglas A Bleyenburg (PRESIDENT) |
| Authorized Official Contact | 6163922302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office 170 College Ave #220 Holland MI 49423 Ph: (616) 392-2302 | Dental Office 170 College Ave #220 Holland MI 49423 Ph: (616) 392-2302 |
| NPI Number | 1083624662 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083624662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16773 (Michigan) | Primary |
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