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1265700025
KATHERINE VANDER WAL
JENISON, MI
NPI
1265700025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901020013)
Enumeration Date
2011-12-08
Last Update Date
2014-11-20
Business Address
Dr. KATHERINE VANDER WAL DDS
7706 GEORGETOWN CENTER DR
JENISON, MI 49428-7144
Phone number: 616-855-0005
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Mailing Address
Dr. KATHERINE VANDER WAL DDS
3519 CITY RIDGE CT
HUDSONVILLE, MI 49426-7735
Phone number:
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