Glen Valley Dentistry

NPI #1538100482 in Caledonia, Michigan

Provider Information

NPI Number: 1538100482
Entity Type: Organization
Organization Name: Glen Valley Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 10, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 9041 N RODGERS CT SE
City: Caledonia
State: Michigan
ZIP Code: 49316-7660
Phone: (616) 891-8931

Authorized Official

Name: MRS. ROBIN T. VAUGHAN, DDS
Title: OWNER/DENTIST
Phone: (616) 891-8931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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