Organization
NICHOLAS J VANDEMOORTEL, DDS, PC
Active
Other names
South Custer Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JAMES VANDEMOORTEL DDS (OWNER/ DENTIST)
(269) 964-0357
Entity
Organization
Contact information
Practice address
572 MILITARY ST, SPRINGFIELD, MI 49037-7599
(269) 964-0357
(269) 964-0929
Mailing address
572 MILITARY ST, SPRINGFIELD, MI 49037-7599
(269) 964-0357
(269) 964-0929
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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