Ouderkirk Dental Pllc
NPI #1003573403 in Grand Ledge, Michigan
Provider Information
- NPI Number
- 1003573403
- Entity Type
- Organization
- Organization Name
- Ouderkirk Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 19, 2021
- Last Updated
- Nov 19, 2021
Practice Location
- Address
- 11970 SWEETWATER DR
- City
- Grand Ledge
- State
- Michigan
- ZIP Code
- 48837-8199
- Phone
- (517) 627-2470
Authorized Official
- Name
- EVAN OUDERKIRK, DDS
- Title
- MEMBER
- Phone
- (517) 917-1836
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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