Individual
DR. KATHERINE VANDER WAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7706 GEORGETOWN CENTER DR, JENISON, MI 49428-7144
(616) 855-0005
Mailing address
3519 CITY RIDGE CT, HUDSONVILLE, MI 49426-7735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020013
MI
Other
Enumeration date
12/08/2011
Last updated
11/20/2014
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