Individual
DR. JOSHUA G VANDER WEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20055 CARLYSLE ST, DEARBORN, MI 48124-3803
(313) 565-1102
Mailing address
7336 PINE AIRE CT SW, JENISON, MI 49428-7749
(616) 485-7930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019692
MI
Other
Enumeration date
08/06/2007
Last updated
09/29/2008
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