# WESTSHORE ENDODONTICS PC

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

## Provider details

- **NPI number:** 1598172363
- **Authorized official:** STEVEN FREY DDS (OWNER)
- **Authorized official phone:** (616) 392-6385

## Contact information

- **Practice address:** 904 WASHINGTON AVE, SUITE 110, HOLLAND, MI 49423-7724
- **Practice address phone:** (616) 392-6385
- **Mailing address:** 904 WASHINGTON AVE, SUITE 110, HOLLAND, MI 49423-7724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 2901021139 | MI | Yes |

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 07/14/2014