Individual
DR. KATIE MARIE VAN HAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2700 5 MILE RD NE, SUITE 100, GRAND RAPIDS, MI 49525-6516
(616) 361-9290
Mailing address
2700 5 MILE RD NE, SUITE 100, GRAND RAPIDS, MI 49525-6516
(616) 361-9290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019799
MI
Other
Enumeration date
07/17/2008
Last updated
03/01/2015
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