Individual
DR. GARY LEE ZOUTENDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
491 E COLUMBIA AVE, STE 3, BATTLE CREEK, MI 49015
(269) 962-8505
(269) 962-9160
Mailing address
491 E COLUMBIA AVE, STE 3, BATTLE CREEK, MI 49015
(269) 962-8505
(269) 962-9160
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
GZ10510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4045261
—
MI
Enumeration date
09/07/2006
Last updated
06/17/2010
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