Organization
DEREK DEVRIES DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK DEVRIES DDS (OWNER)
(616) 554-2100
Entity
Organization
Contact information
Practice address
6650 CROSSINGS DR SE, GRAND RAPIDS, MI 49508-7852
(616) 554-2100
Mailing address
6650 CROSSINGS DR SE, GRAND RAPIDS, MI 49508-7852
(616) 554-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/08/2022
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