Individual
JOHN PAUL KLOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1259 POST DR NE STE E, BELMONT, MI 49306-8717
(616) 284-3200
Mailing address
1259 POST DR NE STE E, BELMONT, MI 49306-8717
(616) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017901
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1892650
UNITED CONCORDIA
—
Enumeration date
11/17/2006
Last updated
01/11/2017
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