Organization
JOHN VAN TIEM D.D.S. P.C.
Active
Other names
John Van Tiem DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL VAN TIEM D.D.S (PRESIDENT)
(517) 851-8455
Entity
Organization
Contact information
Practice address
120 E MAIN ST, STOCKBRIDGE, MI 49285-9482
(517) 851-8455
(517) 851-8455
Mailing address
120 E MAIN ST, PO BOX 93, STOCKBRIDGE, MI 49285-9482
(517) 851-8455
(517) 851-8455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011876
MI
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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