Individual
DR. ALLYSON BURGESS MULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2005 LEONARD ST NW, GRAND RAPIDS, MI 49504-3827
(616) 453-5331
(616) 453-9235
Mailing address
2005 LEONARD ST NW, GRAND RAPIDS, MI 49504-3827
(616) 453-5331
(616) 453-9235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020749
MI
Other
Enumeration date
06/28/2012
Last updated
07/01/2015
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