Individual
BESSIE E AFENDOULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2249 WEALTHY S.E., SUITE 100, GRAND RAPIDS, MI 49506-2931
(616) 454-8228
(616) 454-8968
Mailing address
2249 WEALTHY S.E., SUITE 100, GRAND RAPIDS, MI 49506-2931
(616) 454-8228
(616) 454-8968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013942
MI
Other
Enumeration date
08/18/2006
Last updated
06/08/2015
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