Organization
VAN TIMMEREN FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT EDWARD VAN TIMMEREN D.D.S. (DENTIST/PRESIDENT)
(616) 538-1050
Entity
Organization
Contact information
Practice address
2620 44TH ST SW, WYOMING, MI 49519-4106
(616) 538-1050
Mailing address
2620 44TH ST SW, WYOMING, MI 49519-4106
(616) 538-1050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019579
MI
Other
Enumeration date
03/25/2010
Last updated
05/25/2016
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