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Organization

VALLEAU AND VANDEVEN DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AIMEE CHRISTINE VALLEAU DDS (PRESIDENT)
(616) 455-1301
Entity
Organization

Contact information

Practice address
2000 43RD ST SE, SUITE B, GRAND RAPIDS, MI 49508-8700
(616) 455-1301
(616) 455-6533
Mailing address
2000 43RD ST SE, SUITE B, GRAND RAPIDS, MI 49508-8700
(616) 455-1301
(616) 455-6533

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901016883
MI

Other

Enumeration date
07/17/2007
Last updated
07/17/2007
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