# ANDREW M VAN HAREN DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VH Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225312523
- **Authorized official:** ANDREW MICHAEL VAN HAREN DDS (OWNER)
- **Authorized official phone:** (616) 361-9290

## Contact information

- **Practice address:** 2700 FIVE MILE RD,, STE 100, GRAND RAPIDS, MI 49525
- **Practice address phone:** (616) 361-9290
- **Mailing address:** 2700 FIVE MILE RD,, STE 100, GRAND RAPIDS, MI 49525
- **Mailing address phone:** (616) 361-9290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2011
- **Last updated:** 10/05/2011
