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1003960436
MATTHEW P. DURHAM
GRAND RAPIDS, MI
NPI
1003960436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 290107668)
Enumeration Date
2007-01-23
Last Update Date
2015-12-08
Business Address
Dr. MATTHEW P. DURHAM D.D.S.
2700 5 MILE RD NE STE. #201
GRAND RAPIDS, MI 49525-1710
Phone number: 616-361-1727
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Mailing Address
Dr. MATTHEW P. DURHAM D.D.S.
2700 5 MILE NERD 201
GRAND RAPIDS, MI 49525-6516
Phone number: 616-361-1727
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