Organization
GARY L ZOUTENDAM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L ZOUTENDAM (OWNER)
(269) 962-8505
Entity
Organization
Contact information
Practice address
491 E. COLUMBIA AVE, SUITE 3, BATTLE CREEK, MI 49014-5468
(269) 962-8505
(269) 962-9160
Mailing address
491 E. COLUMBIA AVE, SUITE 3, BATTLE CREEK, MI 49014-5468
(269) 962-8505
(269) 962-9160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990454
—
MI
Enumeration date
01/13/2012
Last updated
01/17/2012
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