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Organization

CLARK & VANOVERLOOP DDS PLLC

Active
Other names
Clark and VanOverloop Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AARON SAMUEL CLARK DDS (DENTIST / MEMBER)
(616) 457-6800
Entity
Organization

Contact information

Practice address
1915 GEORGETOWN CENTER DR, SUITE 101, JENISON, MI 49428-7121
(616) 457-6800
Mailing address
1915 GEORGETOWN CENTER DR, SUITE 101, JENISON, MI 49428-7121
(616) 457-6800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MI

Other

Enumeration date
11/11/2014
Last updated
10/21/2020
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