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Organization
WESTSHORE ENDODONTICS PC
Active
Organization
WESTSHORE ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN FREY DDS (OWNER)
(616) 392-6385
Entity
Organization
Contact information
Practice address
904 WASHINGTON AVE, SUITE 110, HOLLAND, MI 49423-7724
(616) 392-6385
Mailing address
904 WASHINGTON AVE, SUITE 110, HOLLAND, MI 49423-7724
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901021139
MI
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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