Individual
DR. MITCHELL SCOTT VANDER BAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3300 GRAND RIDGE DR NE, GRAND RAPIDS, MI 49525-7062
(616) 364-6490
Mailing address
1001 BRENTWOOD CT, COLUMBIA, SC 29206-2871
(616) 446-3974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021199
MI
Other
Enumeration date
01/14/2015
Last updated
04/01/2025
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