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Individual

DR. JONATHAN VANDENBURGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
56400 CITY CENTER CIR, MATTAWAN, MI 49071-8380
(269) 568-2609
Mailing address
70844 FOX CREEK BLVD, LAWTON, MI 49065-7807
(269) 568-2609

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021650
MI

Other

Enumeration date
07/13/2015
Last updated
12/26/2024
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