Jason C. Doublestein, D.d.s., P.l.l.c.
NPI #1275766461 in Grandville, Michigan
Provider Information
- NPI Number
- 1275766461
- Entity Type
- Organization
- Organization Name
- Jason C. Doublestein, D.d.s., P.l.l.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 3, 2009
- Last Updated
- Sep 8, 2009
Practice Location
- Address
- 4320 44TH ST SW
- Address 2
- SUITE 106
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418-2300
- Phone
- (616) 530-2200
Authorized Official
- Name
- JASON C DOUBLESTEIN, D.D.S., P.L.L.C.
- Title
- PRESIDENT
- Phone
- (616) 530-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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