| Van De Vyver Dental, P.c. | |
|
25810 Kelly Rd Ste 2 Roseville MI 48066-4467 | |
| (734) 320-8939 | |
| Not Available |
| Full Name | Van De Vyver Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25810 Kelly Rd Ste 2, Roseville, Michigan |
| Authorized Official Name and Position | Shawn Van De Vyver (DENTIST) |
| Authorized Official Contact | 7343208939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van De Vyver Dental, P.c. 73501 Windmill Dr Bruce Twp MI 48065-3159 Ph: (586) 372-7045 | Van De Vyver Dental, P.c. 25810 Kelly Rd Ste 2 Roseville MI 48066-4467 Ph: (734) 320-8939 |
| NPI Number | 1346873288 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346873288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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