Individual
DENNIS L RADKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
72 EAST DIVISION, SPARTA, MI 49345
(616) 887-8228
(616) 887-1850
Mailing address
72 EAST DIVISION, SPARTA, MI 49345
(616) 887-8228
(616) 887-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11670
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4044890
—
MI
Enumeration date
10/03/2006
Last updated
07/08/2007
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