Individual
JEANETTE VANOEFFELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 SHELDON SE, GRAND RAPIDS, MI 49503
(616) 776-2363
Mailing address
5647 BAUMHOFF AVE NW, COMSTOCK PARK, MI 49321-8333
(616) 299-0112
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011672
MI
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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