DR. Nathan Douglas Van Hofwegen, D.D.S.

NPI #1700018074 in Portage, Michigan

Provider Information

NPI Number: 1700018074
Entity Type: Individual
Name: DR. Nathan Douglas Van Hofwegen, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 19, 2009
Last Updated: Oct 17, 2023

Practice Location

Address: 621 W CENTRE AVENUE
City: Portage
State: Michigan
ZIP Code: 49024
Phone: (269) 343-5386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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