Individual
DR. DOUGLAS EUGENE LADUE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2017 EASTCASTLE DR SE, SUITE A, GRAND RAPIDS, MI 49508-8872
(616) 455-4646
Mailing address
2017 EASTCASTLE DR SE, SUITE A, GRAND RAPIDS, MI 49508-8872
(616) 455-4646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901020005
MI
1223P0221X
Pediatric Dentistry
Primary
2901020005
MI
Other
Enumeration date
06/25/2009
Last updated
12/15/2021
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