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Organization

A A DOERING ENDODONTICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARTHUR LOUIS DOERING DDS MS (OWNER)
(616) 224-3636
Entity
Organization

Contact information

Practice address
2450 44TH ST SE, 201, GRAND RAPIDS, MI 49512-9081
(616) 224-3636
(616) 224-3644
Mailing address
2450 44TH ST SE, 201, GRAND RAPIDS, MI 49512-9081
(616) 224-3636
(616) 224-3644

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1376609222
MI
1223E0200X
Endodontics
Primary
1760779177
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376609222
NPI
MI
01
1760779177
NPI
MI
Enumeration date
01/21/2015
Last updated
01/21/2015
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