Individual
DR. RYAN C VANHAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2100 RAYBROOK ST SE, SUITE 107, GRAND RAPIDS, MI 49546-7759
(616) 949-2941
Mailing address
2100 RAYBROOK ST SE, SUITE 107, GRAND RAPIDS, MI 49546-7759
(616) 949-2941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18383
MI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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