Organization
VANDERLUGT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F VANDERLUGT (DDS)
(616) 455-8400
Entity
Organization
Contact information
Practice address
2008 EASTCASTLE DR SE STE C, GRAND RAPIDS, MI 49508-8874
(616) 455-8400
(616) 455-4283
Mailing address
2008 EASTCASTLE DR SE STE C, GRAND RAPIDS, MI 49508-8874
(616) 455-8400
(616) 455-4283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
L732419
MI
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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