Organization
BRADLEY A DYKSTRA DDS PLC
Active
Other names
Hudsonville Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ALAN DYKSTRA DDS (PRES)
(616) 669-6600
Entity
Organization
Contact information
Practice address
3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 669-6600
(616) 669-2964
Mailing address
3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 669-6600
(616) 669-2964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11799
MI
Other
Enumeration date
09/16/2005
Last updated
08/22/2020
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