Individual
IVAN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2700 BAKER ST, MUSKEGON HEIGHTS, MI 49444-2157
(231) 733-6765
Mailing address
4781 PERRY ST, HUDSONVILLE, MI 49426-7625
(616) 334-3508
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
L439003
MI
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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