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Individual

DR. MARK ALLAN OSENIEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
O-11225 TALLMADGE WOODS DR NW, GRAND RAPIDS, MI 49534-6313
(616) 453-0002
Mailing address
11225 TALLMADGE WOODS DR NW, GRAND RAPIDS, MI 49534-6306
(616) 453-0002

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016297
MI

Other

Enumeration date
12/27/2006
Last updated
06/22/2020
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