Individual
DR. DANIEL G BOUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.DS., M.S.
Contact information
Practice address
3101 MACATAWA DR SW, GRANDVILLE, MI 49418-3163
(616) 538-5920
Mailing address
3101 MACATAWA DR SW, GRANDVILLE, MI 49418-3163
(616) 538-5920
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901019728
MI
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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