Individual
DR. DOUGLAS A BLEYENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
170 COLLEGE AVE STE 220, HOLLAND, MI 49423-2982
(616) 392-2302
(616) 392-9070
Mailing address
170 COLLEGE AVE STE 220, HOLLAND, MI 49423-2982
(616) 392-2302
(616) 392-9070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16773
MI
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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