Individual
DR. JACK DOUGLAS MCINTYRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3168 PORT SHELDON ST, HUDSONVILLE, MI 49426-9317
(616) 669-3900
(616) 669-3913
Mailing address
3168 PORT SHELDON ST, HUDSONVILLE, MI 49426-9317
(616) 669-3900
(616) 669-3913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013617
MI
Other
Enumeration date
05/06/2007
Last updated
08/04/2009
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