Organization
DAVID M SHABLUK DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA MULDER (OFFICE MANAGER)
(616) 893-2630
Entity
Organization
Contact information
Practice address
706 W RANDALL ST, COOPERSVILLE, MI 49404-1308
(616) 837-6521
Mailing address
706 W RANDALL ST, COOPERSVILLE, MI 49404-1308
(616) 837-6521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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