Organization
HUDSONVILE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW T. LUBBERS D.D.S. (OWNER)
(616) 669-2040
Entity
Organization
Contact information
Practice address
5813 BALSAM DR, HUDSONVILLE, MI 49426-1104
(616) 669-2040
(616) 669-3147
Mailing address
5813 BALSAM DR, HUDSONVILLE, MI 49426-1104
(616) 669-2040
(616) 669-3147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018172
MI
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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