DR. Ralph Andrew Kooistra JR., DDS

NPI #1528193745 in Gaylord, Michigan

Provider Information

NPI Number
1528193745
Entity Type
Individual
Name
DR. Ralph Andrew Kooistra JR., DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3096 WEST M-32 HWY
ZIP Code
49735
Phone
(989) 731-2087

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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