Rivertown Dental Excellence

NPI #1558633909 in Grandville, Michigan

Provider Information

NPI Number
1558633909
Entity Type
Organization
Organization Name
Rivertown Dental Excellence
Primary Specialty
Dentist
Enumeration Date
Feb 1, 2012
Last Updated
Feb 1, 2012

Practice Location

Address
4565 WILSON AVE SW
Address 2
SUITE 2A
ZIP Code
49418-2371
Phone
(616) 538-0770

Authorized Official

Name
DR. JARED M VAN ITTERSUM, D.D.S.
Title
OWNER
Phone
(616) 538-0770

Specialties & Taxonomy Codes

Specialty
Dentist

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