| Gary L Zoutendam Dds Pc | |
|
491 E. Columbia Ave Suite 3 Battle Creek MI 49014-5468 | |
| (269) 962-8505 | |
| (269) 962-9160 |
| Full Name | Gary L Zoutendam Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 491 E. Columbia Ave, Battle Creek, Michigan |
| Authorized Official Name and Position | Gary L Zoutendam (OWNER) |
| Authorized Official Contact | 2699628505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Zoutendam Dds Pc 491 E. Columbia Ave Suite 3 Battle Creek MI 49014-5468 Ph: (269) 962-8505 | Gary L Zoutendam Dds Pc 491 E. Columbia Ave Suite 3 Battle Creek MI 49014-5468 Ph: (269) 962-8505 |
| NPI Number | 1639440233 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639440233 | NPI | - | NPPES |
| 2990454 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901016510 (Michigan) | Primary |
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