DR. Douglas A Bleyenburg, DDS

NPI #1811140973 in Holland, Michigan

Provider Information

NPI Number: 1811140973
Entity Type: Individual
Name: DR. Douglas A Bleyenburg, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 2, 2008
Last Updated: Nov 2, 2008

Practice Location

Address: 170 COLLEGE AVE STE 220
City: Holland
State: Michigan
ZIP Code: 49423-2982
Phone: (616) 392-2302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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