Ryan C. Van Haren, Dds Pllc | |
2144 E Paris Ave Se Ste 110 Grand Rapids MI 49546-6111 | |
(616) 949-2941 | |
Not Available |
Full Name | Ryan C. Van Haren, Dds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 2144 E Paris Ave Se Ste 110, Grand Rapids, Michigan |
Authorized Official Name and Position | Ryan Van Haren (DENTIST) |
Authorized Official Contact | 6169492941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ryan C. Van Haren, Dds Pllc 2144 E Paris Ave Se Ste 110 Grand Rapids MI 49546-6111 Ph: (616) 949-2941 | Ryan C. Van Haren, Dds Pllc 2144 E Paris Ave Se Ste 110 Grand Rapids MI 49546-6111 Ph: (616) 949-2941 |
NPI Number | 1811463730 |
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Provider Enumeration Date | 10/18/2018 |
Last Update Date | 10/18/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811463730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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