Individual
DR. STEPHEN THERON DOEZEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
847 PARCHMENT DR SE, SUITE 130, GRAND RAPIDS, MI 49546
(616) 954-2288
(616) 954-2315
Mailing address
847 PARCHMENT DR SE, SUITE 130, GRAND RAPIDS, MI 49546
(616) 954-2288
(616) 954-2315
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
10117
MI
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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