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12715 W M 179 Hwy Wayland MI 49348-9318 | |
(616) 808-7863 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 12715 W M 179 Hwy, Wayland, Michigan |
Authorized Official Name and Position | Tyler Mark Veneman (GENERAL DENTIST/OWNER) |
Authorized Official Contact | 6979297232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12715 W M 179 Hwy Wayland MI 49348-9318 Ph: (616) 808-7863 | 12715 W M 179 Hwy Wayland MI 49348-9318 Ph: (616) 808-7863 |
NPI Number | 1336808542 |
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Provider Enumeration Date | 12/15/2021 |
Last Update Date | 12/18/2024 |
Identifier | Type | State | Issuer |
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1336808542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Elizabeth S Robinson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 899 Reno Dr, Wayland, MI 49348 Phone: 269-792-9557 |