Organization
JERRY B. MULDER DDS PLC
Active
Other names
A Life of Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY B MULDER D.D.S (DOCTOR)
(616) 458-0631
Entity
Organization
Contact information
Practice address
515 MICHIGAN ST NE STE 202, GRAND RAPIDS, MI 49503-5721
(616) 458-0631
(616) 458-4065
Mailing address
515 MICHIGAN ST NE STE 202, GRAND RAPIDS, MI 49503-5721
(616) 458-0631
(616) 458-4065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012689
MI
Other
Enumeration date
10/13/2014
Last updated
10/22/2014
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