Organization
MICHIGAN DENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT VAN DEN EEDEN (OWNER / GENERAL PARTNER)
(248) 398-1900
Entity
Organization
Contact information
Practice address
3684 W 11 MILE RD, BERKLEY, MI 48072-1002
(248) 398-1900
(248) 394-1919
Mailing address
3684 W 11 MILE RD, BERKLEY, MI 48072-1002
(248) 398-1900
(248) 394-1919
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
02/20/2011
Last updated
02/20/2011
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