Organization
GREAT LAKES SLEEP CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DE ZWAAN DDS (OWNER)
(616) 784-6300
Entity
Organization
Contact information
Practice address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Mailing address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
10/03/2025
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