Individual
DR. JACK VELTKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1610 GROVER STREET, SUITE C-1, LYNDEN, WA 98264
(360) 354-5691
Mailing address
1610 GROVER STREET, SUITE C-1, LYNDEN, WA 98264
(360) 354-5691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004681
WA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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