Individual
DR. MATTHEW RYAN VANDERLAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
820 84TH STREET SW, BYRON CENTER, MI 49315-9458
(616) 455-7310
(616) 455-0332
Mailing address
820 84TH STREET SW, BYRON CENTER, MI 49315-9458
(616) 455-7310
(616) 455-0332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020014
MI
1223G0001X
General Practice Dentistry
2901020014
MI
Other
Enumeration date
06/15/2009
Last updated
12/14/2017
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