Individual
DR. CORNELIUS JAY HUIZINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7610 COTTONWOOD DR, SUITE 108, JENISON, MI 49428-8310
(616) 457-0620
(616) 457-1600
Mailing address
7610 COTTONWOOD DR, SUITE 108, JENISON, MI 49428-8310
(616) 457-0620
(616) 457-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7859
MI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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