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Organization
WESTSIDE DENTAL PC
Active
Organization
WESTSIDE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLYSON B MULDER D.M.D. (DOCTOR)
(616) 453-5331
Entity
Organization
Contact information
Practice address
2005 LEONARD ST NW, GRAND RAPIDS, MI 49504-3827
(616) 453-5331
(616) 453-9235
Mailing address
2005 LEONARD ST NW, GRAND RAPIDS, MI 49504-3827
(616) 453-5331
(616) 453-9235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
06/07/2016
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