Spring Lake Family Dentistry
NPI #1396136271 in Spring Lake, Michigan
Provider Information
- NPI Number
- 1396136271
- Entity Type
- Organization
- Organization Name
- Spring Lake Family Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 12, 2015
- Last Updated
- Feb 12, 2015
Practice Location
- Address
- 102 S BUCHANAN ST
- Address 2
- STE A
- City
- Spring Lake
- State
- Michigan
- ZIP Code
- 49456-2090
- Phone
- (616) 846-5690
Authorized Official
- Name
- JARED M VANITTERSUM, DDS
- Title
- OWNER/DENTIST
- Phone
- (616) 846-5690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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