Organization
JEFFREY T HUISMAN D.D.S. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY T HUISMAN D.D.S. (OWNER)
(616) 396-5919
Entity
Organization
Contact information
Practice address
397 120TH AVE, HOLLAND, MI 49424-2118
(616) 396-5919
(616) 396-9995
Mailing address
397 120TH AVE, HOLLAND, MI 49424-2118
(616) 396-5919
(616) 396-9995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10141
MI
1223G0001X
General Practice Dentistry
Primary
18263
MI
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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