DR. Katherine Vander Wal, DDS

NPI #1265700025 in Jenison, Michigan

Provider Information

NPI Number: 1265700025
Entity Type: Individual
Name: DR. Katherine Vander Wal, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 8, 2011
Last Updated: Nov 20, 2014

Practice Location

Address: 7706 GEORGETOWN CENTER DR
City: Jenison
State: Michigan
ZIP Code: 49428-7144
Phone: (616) 855-0005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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