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Individual

CHRISTIAN L VERMEULEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4940 CASCADE RD SE, GRAND RAPIDS, MI 49546-3708
(616) 949-3500
(616) 949-9931
Mailing address
4940 CASCADE RD SE, GRAND RAPIDS, MI 49546-3708
(616) 949-3500
(616) 949-9931

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018102
MI

Other

Enumeration date
03/20/2009
Last updated
03/20/2009
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