Individual
MR. JAN CORNELIS VANDEREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 S MAIN ST, ALMONT, MI 48003-1066
(810) 798-3941
(810) 798-3141
Mailing address
PO BOX 425, 106 SOUTH MAIN ST, ALMONT, MI 48003-0425
(810) 798-3941
(810) 798-3141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014473
MI
Other
Enumeration date
03/19/2007
Last updated
11/17/2016
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