# HUDSONVILE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1932339199
- **Authorized official:** DR. MATTHEW T. LUBBERS D.D.S. (OWNER)
- **Authorized official phone:** (616) 669-2040

## Contact information

- **Practice address:** 5813 BALSAM DR, HUDSONVILLE, MI 49426-1104
- **Practice address phone:** (616) 669-2040
- **Practice address fax:** (616) 669-3147
- **Mailing address:** 5813 BALSAM DR, HUDSONVILLE, MI 49426-1104
- **Mailing address phone:** (616) 669-2040
- **Mailing address fax:** (616) 669-3147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901018172 | MI | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009