Individual
MRS. ERIN ELIZABETH VANDENBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
781 36TH ST SE STE B, GRAND RAPIDS, MI 49548-2319
(606) 828-0052
Mailing address
1905 CANNON ST SW, WYOMING, MI 49519-4208
(606) 690-0609
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010581
MI
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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