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Organization
MEEUWSEN DENTAL PLLC
Active
Organization
MEEUWSEN DENTAL PLLC
Active
Other names
Ravenna Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MEEUWSEN DDS (MANAGING PARTNER)
(231) 853-6618
Entity
Organization
Contact information
Practice address
12374 STAFFORD ST, RAVENNA, MI 49451-5104
(231) 853-6618
(231) 853-8043
Mailing address
12374 STAFFORD ST, PO BOX 204, RAVENNA, MI 49451-5104
(231) 853-6618
(231) 853-8043
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MI
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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