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1295360428
DJ EDGERLE, DDS, PC
GRAND RAPIDS, MI
NPI
1295360428
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Entity Type
Organization
Authorized Contact
DEFOE J EDGERLE
Owner
616-949-2720
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
DJ EDGERLE, DDS, PC
751 KENMOOR AVE SE STE G
GRAND RAPIDS, MI 49546-2391
Phone number: 616-949-2720
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Mailing Address
DJ EDGERLE, DDS, PC
751 KENMOOR AVE SE STE G
GRAND RAPIDS, MI 49546-2391
Phone number: 616-949-2720
Copy
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