IVAN EGAN

MUSKEGON HEIGHTS, MI
NPI1376916171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  L439003)
Enumeration Date2015-11-03
Last Update Date2015-11-03
Business Address
IVAN EGAN RDH
2700 BAKER ST
MUSKEGON HEIGHTS, MI 49444-2157
Phone number: 231-733-6765
Mailing Address
IVAN EGAN RDH
4781 PERRY ST
HUDSONVILLE, MI 49426-7625
Phone number: 616-334-3508