Individual
DR. JONATHAN EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1750 GRAND RIDGE COURT NE, SUITE 202, GRAND RAPIDS, MI 49525
(616) 361-9330
(616) 361-7095
Mailing address
1750 GRAND RIDGE COURT NE, SUITE 202, GRAND RAPIDS, MI 49525
(616) 361-9330
(616) 361-7095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D156450
MI
Other
Enumeration date
12/10/2007
Last updated
11/22/2023
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