Individual
DR. ALAN LOUIS ROSENDALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4829 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9747
(616) 363-9277
(616) 363-0390
Mailing address
4829 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9747
(616) 363-9277
(616) 363-0390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217433320039
—
MI
05
—
1217433410040
—
MI
Enumeration date
05/11/2006
Last updated
07/08/2007
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