Organization
DENTAL IMPRESSIONS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L VANDYKE D.D.S. (SOLE PROPRIETOR)
(231) 719-0033
Entity
Organization
Contact information
Practice address
1745 HOLTON RD, SUITE C, MUSKEGON, MI 49445-1453
(231) 719-0033
(231) 719-8933
Mailing address
1745 HOLTON RD, SUITE C, MUSKEGON, MI 49445-1453
(231) 719-0033
(231) 719-8933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018623
MI
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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