Gary L Zoutendam Dds Pc | |
491 E. Columbia Ave Suite 3 Battle Creek MI 49014-5468 | |
(269) 962-8505 | |
(269) 962-9160 |
Full Name | Gary L Zoutendam Dds Pc |
---|---|
Speciality | Dentist |
Location | 491 E. Columbia Ave, Battle Creek, Michigan |
Authorized Official Name and Position | Gary L Zoutendam (OWNER) |
Authorized Official Contact | 2699628505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary L Zoutendam Dds Pc 491 E. Columbia Ave Suite 3 Battle Creek MI 49014-5468 Ph: (269) 962-8505 | Gary L Zoutendam Dds Pc 491 E. Columbia Ave Suite 3 Battle Creek MI 49014-5468 Ph: (269) 962-8505 |
NPI Number | 1639440233 |
---|---|
Provider Enumeration Date | 01/13/2012 |
Last Update Date | 01/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639440233 | NPI | - | NPPES |
2990454 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901016510 (Michigan) | Primary |
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