Individual
ALICIA RANAE NIEUWKOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3100 IVANREST AVE SW STE 105, GRANDVILLE, MI 49418-2955
(616) 538-3060
Mailing address
3100 IVANREST AVE SW STE 105, GRANDVILLE, MI 49418-2955
(616) 538-3060
(906) 346-6474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022628
MI
Other
Enumeration date
06/08/2018
Last updated
06/26/2026
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