Organization
ALPINE DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH A. KOOISTRA D.D.S. (PRESIDENT)
(989) 732-8600
Entity
Organization
Contact information
Practice address
3096 W M32 HWY, GAYLORD, MI 49735-9753
(989) 732-8600
(989) 731-4937
Mailing address
3096 W M32 HWY, GAYLORD, MI 49735-9753
(989) 732-8600
(989) 731-4937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
03/28/2007
Last updated
07/21/2022
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