Organization
WOODMEADOW DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MICHEL DE ZWAAN D.D.S. (DENTIST)
(616) 949-3581
Entity
Organization
Contact information
Practice address
2554 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8033
(616) 949-3581
(616) 949-2588
Mailing address
2554 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8033
(616) 949-3581
(616) 949-2588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020721
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821349549
PRIVATE
MI
01
—
1982759916
PRIVATE
MI
Enumeration date
09/20/2013
Last updated
09/20/2013
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