Douglas a Bleyenburg DDS PC

NPI #1083624662 in Holland, Michigan

Provider Information

NPI Number: 1083624662
Entity Type: Organization
Organization Name: Douglas a Bleyenburg DDS PC
Primary Specialty: Dentist
Enumeration Date: Aug 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 170 COLLEGE AVE
Address 2: #220
City: Holland
State: Michigan
ZIP Code: 49423
Phone: (616) 392-2302

Authorized Official

Name: DR. DOUGLAS A BLEYENBURG, DDS
Title: PRESIDENT
Phone: (616) 392-2302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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