DR. Randy James Breen, D.D.S.

NPI #1003815655 in Grand Rapids, Michigan

Provider Information

NPI Number
1003815655
Entity Type
Individual
Name
DR. Randy James Breen, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 17, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
515 LAKESIDE DR SE
Address 2
#208
ZIP Code
49506-2931
Phone
(616) 454-9091

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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