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Organization

MATTHEW R VANDERLAAN DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW RYAN VANDERLAAN DDS (OWNER/DENTIST)
(616) 455-7310
Entity
Organization

Contact information

Practice address
820 84TH STREET SW, BYRON CENTER, MI 49315-9458
(616) 455-7310
(616) 455-0332
Mailing address
820 84TH STREET SW, BYRON CENTER, MI 49315-9458
(616) 455-7310
(616) 455-0332

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020014
MI
122300000X
Dentist
2901021039
MI

Other

Enumeration date
12/14/2017
Last updated
12/14/2017
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