Organization
ORAL SURGERY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J MULDER DDS, MS (PRESIDENT)
(616) 942-2000
Entity
Organization
Contact information
Practice address
2144 E PARIS AVE SE STE 150, GRAND RAPIDS, MI 49546-6126
(616) 942-2000
(616) 942-6805
Mailing address
2144 E PARIS AVE SE STE 150, GRAND RAPIDS, MI 49546-6126
(616) 942-2000
(616) 942-6805
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
01/16/2018
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