Individual
DR. CORNELIUS WILLIAM HENRY HOEKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12350 RILEY ST, HOLLAND, MI 49424-9219
(616) 738-9900
(616) 738-3090
Mailing address
12350 RILEY ST, HOLLAND, MI 49424-9219
(616) 738-9900
(616) 738-3090
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901013103
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9757060030
BCBS MEDICAL
MI
Enumeration date
08/09/2005
Last updated
11/28/2018
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