Organization
NICHOLAS RITZEMA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RITZEMA DDS (OWNER)
(616) 458-7267
Entity
Organization
Contact information
Practice address
1406 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2006
(616) 458-7267
Mailing address
1406 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2006
(616) 458-7267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020693
MI
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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