Organization
MEEUWSEN DENTAL PLLC
Active
Other names
Ravenna Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MEEUWSEN DDS (MANAGING PARTNER)
(231) 853-6618
Entity
Organization
Contact information
Practice address
12374 STAFFORD ST, RAVENNA, MI 49451-5104
(231) 853-6618
(231) 853-8043
Mailing address
12374 STAFFORD ST, PO BOX 204, RAVENNA, MI 49451-5104
(231) 853-6618
(231) 853-8043
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MI
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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