Benjamin H. Wickstra Dds, Pllc

NPI #1851685226 in Holland, Michigan

Provider Information

NPI Number
1851685226
Entity Type
Organization
Organization Name
Benjamin H. Wickstra Dds, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
BH WICKSTRA DDS PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 2, 2011
Last Updated
Jun 2, 2011

Practice Location

Address
567 CENTRAL AVE
ZIP Code
49423-4848
Phone
(616) 218-5795

Authorized Official

Name
DR. BENJAMIN H WICKSTRA, D.D.S.
Title
PRESIDENT
Phone
(616) 218-5795

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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