Organization
BELMONT DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KLOOSTER DDS (SOLE MEMBER)
(616) 284-3200
Entity
Organization
Contact information
Practice address
1259 POST DR NE STE E, BELMONT, MI 49306-8717
(616) 284-3200
Mailing address
1259 POST DR NE STE E, BELMONT, MI 49306-8717
(616) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017901
MI
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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