Individual
MR. JEFFREY THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12723 N BELLWOOD DR STE 20, HOLLAND, MI 49424-7275
(616) 377-7333
Mailing address
3120 RIDGES BND APT 203, GRAND RAPIDS, MI 49546-5437
(419) 304-6814
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2903603763
MI
Other
Enumeration date
04/09/2021
Last updated
03/23/2024
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