Van De Vyver Dental, P.c.

NPI #1346873288 in Roseville, Michigan

Provider Information

NPI Number
1346873288
Entity Type
Organization
Organization Name
Van De Vyver Dental, P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 19, 2020
Last Updated
Feb 19, 2020

Practice Location

Address
25810 KELLY RD STE 2
ZIP Code
48066-4467
Phone
(734) 320-8939

Authorized Official

Name
SHAWN VAN DE VYVER
Title
DENTIST
Phone
(734) 320-8939

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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