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West Michigan Pediatric Dentistry
Pediatric Dentist in Holland, Michigan
NPI 1942327259

West Michigan Pediatric Dentistry is a Pediatric Dentist based in Holland, MI and is specialized in Pediatric Dentistry. West Michigan Pediatric Dentistry practices in Holland, MI. The NPI Number for West Michigan Pediatric Dentistry is 1942327259 and holds a License No. 2901012323 (Michigan).

The current practice location address for West Michigan Pediatric Dentistry is 845 E. 16Th St, Holland, MI and can be reached out via phone at 616-392-2381 and via fax at 616-392-3748.

Location: 845 E. 16Th St, Holland, MI, 49423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942327259
Provider Name
West Michigan Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
845 E. 16Th St, Holland, MI, 49423
Phone Number
616-392-2381
Fax Number
616-392-3748
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4383590-12 05 MI
4383607-12 05 MI
institution
Provider Business Practice Location Address Details
Address
845 E. 16Th St
City
Holland
State
Michigan
Zip
49423
Phone Number
616-392-2381
Fax Number
616-392-3748
person
Provider Business Mailing Address Details
Address
845 E. 16Th St
City
Holland
State
Michigan
Zip
49423
Phone Number
616-392-2381
Fax Number
616-392-3748
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901012323 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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