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Individual

DR. JEFFREY ALLEN LINDHOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
4330 44TH ST SW, SUITE 106, GRANDVILLE, MI 49418-2349
(616) 530-4710
(616) 530-0480
Mailing address
4330 44TH ST SW, SUITE 106, GRANDVILLE, MI 49418-2349
(616) 530-4710

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901015336
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3057811
MI
05
3057820
MI
Enumeration date
08/23/2005
Last updated
11/16/2007
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