Individual
DR. JACOB VANITVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8189 S SAGINAW ST, GRAND BLANC, MI 48439-2494
(810) 695-1151
Mailing address
1525 KINGS BRIDGE RD, GRAND BLANC, MI 48439-8723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601697
MI
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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