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Dr. Clare Royce Van Wieren, DDS
Oral and Maxillofacial Surgery (Dentist) in Holland, Michigan
NPI 1649254707

Clare Royce Van Wieren is a Oral and Maxillofacial Surgery (Dentist) based in Holland, MI and is specialized in Oral and Maxillofacial Surgery. Clare Royce Van Wieren practices in Holland, MI and has the professional credentials of DDS. The NPI Number for Clare Royce Van Wieren is 1649254707 and holds a License No. 2901009802 (Michigan).

The current practice location address for Clare Royce Van Wieren is 601 Michigan Ave, Holland, MI and can be reached out via phone at 616-392-5573 and via fax at 616-392-9610.

Location: 601 Michigan Ave, Holland, MI, 49423-4951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649254707
Provider Name
Clare Royce Van Wieren
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
601 Michigan Ave, Holland, MI, 49423-4951
Phone Number
616-392-5573
Fax Number
616-392-9610
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4062988 05 MI
2980529 05 MI
9757063760 01 MI BCBS MEDICAL NUMBER
D098020 01 MI BCBS DENTAL NUMBER
institution
Provider Business Practice Location Address Details
Address
601 Michigan Ave
City
Holland
State
Michigan
Zip
49423-4951
Phone Number
616-392-5573
Fax Number
616-392-9610
person
Provider Business Mailing Address Details
Address
601 Michigan Ave
City
Holland
State
Michigan
Zip
49423-4951
Phone Number
616-392-5573
Fax Number
616-392-9610
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901009802 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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