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Organization

CHRISTIAN VERMEULEN DDS PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTIAN L VERMEULEN DDS (DENTIST PRESIDENT)
(616) 949-3500
Entity
Organization

Contact information

Practice address
4940 CASCADE RD SE STE 010, GRAND RAPIDS, MI 49546-3723
(616) 949-3500
(616) 949-9931
Mailing address
4940 CASCADE RD SE STE 010, GRAND RAPIDS, MI 49546-3723
(616) 949-3500
(616) 949-9931

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29001018102
MI

Other

Enumeration date
03/19/2007
Last updated
08/22/2020
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