# BELMONT DENTISTRY PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275987752
- **Authorized official:** DR. JOHN KLOOSTER DDS (SOLE MEMBER)
- **Authorized official phone:** (616) 284-3200

## Contact information

- **Practice address:** 1259 POST DR NE STE E, BELMONT, MI 49306-8717
- **Practice address phone:** (616) 284-3200
- **Mailing address:** 1259 POST DR NE STE E, BELMONT, MI 49306-8717
- **Mailing address phone:** (616) 284-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901017901 | MI | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 04/20/2016