Individual
PAUL VANLONKHUYZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3000 W CENTRE AVE, PORTAGE, MI 49024-4864
(269) 327-1011
Mailing address
6638 ANGLING RD, PORTAGE, MI 49024-1054
(269) 207-3665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021849
MI
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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