Individual
DR. JERRY BURGESS MULDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PLC
Contact information
Practice address
515 MICHIGAN ST NE, SUITE 202, GRAND RAPIDS, MI 49503-5721
(616) 458-0631
(616) 458-4065
Mailing address
515 MICHIGAN ST, SUITE 202, GRAND RAPIDS, MI 49503
(616) 458-0631
(616) 458-4065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D126890
MI
Other
Enumeration date
03/23/2007
Last updated
07/08/2015
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