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Organization

JOSHUA WANSTEN DDS PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA WANSTEN DDS (DENTIST/OWNER)
(616) 460-5567
Entity
Organization

Contact information

Practice address
2249 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49506-3055
(616) 454-8228
Mailing address
2249 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49506-3055

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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