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Organization

DOUGLAS A BLEYENBURG DDS PC

Active
Other names
Dental Office
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS A BLEYENBURG DDS (PRESIDENT)
(616) 392-2302
Entity
Organization

Contact information

Practice address
170 COLLEGE AVE, #220, HOLLAND, MI 49423
(616) 392-2302
(616) 392-9060
Mailing address
170 COLLEGE AVE, #220, HOLLAND, MI 49423
(616) 392-2302
(616) 392-9060

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16773
MI

Other

Enumeration date
08/08/2006
Last updated
08/22/2020
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