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1063547008
JOHN P BOLTHOUSE
GRANDVILLE, MI
NPI
1063547008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MI 08554)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. JOHN P BOLTHOUSE DDS, MS
3100 IVANREST AVE SW
GRANDVILLE, MI 49418-2930
Phone number: 616-538-1260
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Mailing Address
Dr. JOHN P BOLTHOUSE DDS, MS
3100 IVANREST AVE SW
GRANDVILLE, MI 49418-2930
Phone number: 616-538-1260
Copy
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