Organization
WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
Active
Other names
WEST MICHIGAN ORAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BRADFORD (PRACTICE MANAGER)
(616) 392-2329
Entity
Organization
Contact information
Practice address
601 MICHIGAN AVE, SUITE 200, HOLLAND, MI 49423-4951
(616) 530-4710
(616) 530-0480
Mailing address
601 MICHIGAN AVE, SUITE 200, HOLLAND, MI 49423-4951
(616) 530-4710
(616) 530-0480
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
06/22/2026
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