Organization
OUDERKIRK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN OUDERKIRK DDS (MEMBER)
(517) 917-1836
Entity
Organization
Contact information
Practice address
11970 SWEETWATER DR, GRAND LEDGE, MI 48837-8199
(517) 627-2470
Mailing address
1028 GRENOBLE CIR, LANSING, MI 48917-4811
(517) 917-1836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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