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Organization
WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization
WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
Active
Other names
WEST MICHIGAN ORAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BRADFORD (PRACTICE MANAGER)
(616) 392-2329
Entity
Organization
Contact information
Practice address
601 MICHIGAN AVE, SUITE 200, HOLLAND, MI 49423-4951
(616) 530-4710
(616) 530-0480
Mailing address
601 MICHIGAN AVE, SUITE 200, HOLLAND, MI 49423-4951
(616) 530-4710
(616) 530-0480
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
06/22/2026
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