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Individual

ROYCE A POEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2700 5 MILE RD NE, GRAND RAPIDS, MI 49525-1710
(616) 361-9290
(616) 361-1218
Mailing address
2700 5 MILE RD NE, GRAND RAPIDS, MI 49525-1710
(616) 361-9290
(616) 361-1218

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10721
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2681860
MI
Enumeration date
01/14/2007
Last updated
07/09/2007
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