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Individual

DR. JARED MATTHEW VANITTERSUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1221 E SHERMAN BLVD, MUSKEGON, MI 49444-1811
(231) 739-5105
(231) 739-7432
Mailing address
1221 E SHERMAN BLVD, MUSKEGON, MI 49444-1811
(231) 739-5105
(231) 739-7432

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019772
MI

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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