Individual
DR. DAVID F VANDERLUGT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2008 EASTCASTLE DR SE, SUITE C, GRAND RAPIDS, MI 49508-8874
(616) 455-8400
Mailing address
2008 EASTCASTLE DR SE, SUITE C, GRAND RAPIDS, MI 49508-8874
(616) 455-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012565
MI
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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