Individual
DR. ZACHARY RENE VANDEVOORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
556 N OAK DR, PLYMOUTH, IN 46563-1664
(574) 936-3921
(574) 936-1010
Mailing address
556 N OAK DR, PLYMOUTH, IN 46563-1664
(574) 936-3921
(574) 936-1010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013011A
IN
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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