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Organization
VANDER LINDE FAMILY AND COSMETIC DENTISTRY
Active
Organization
VANDER LINDE FAMILY AND COSMETIC DENTISTRY
Active
Other names
Renew Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA DODDS DDS (DENTIST)
(616) 245-3205
Entity
Organization
Contact information
Practice address
2609 BRETON RD SE, GRAND RAPIDS, MI 49546-5631
(616) 245-3205
Mailing address
2609 BRETON RD. SE, GRAND RAPIDS, MI 49546
(616) 245-3205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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