Individual
DR. RANDY JAMES BREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
515 LAKESIDE DR SE, #208, GRAND RAPIDS, MI 49506-2931
(616) 454-9091
(616) 454-1159
Mailing address
2435 ROLLING MEADOW DR NE, BELMONT, MI 49306-9332
(616) 863-9515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014055
MI
Other
Enumeration date
07/17/2005
Last updated
07/08/2007
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