DAN J VANDERMEULEN

PORTAGE, MI
NPI1659485464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: MI  10199)
Enumeration Date2006-08-18
Last Update Date2007-07-08
Business Address
Dr. DAN J VANDERMEULEN DDS MS
8191 MOORSBRIDGE ROAD SUITE A
PORTAGE, MI 49024
Phone number: 269-323-1022
Mailing Address
Dr. DAN J VANDERMEULEN DDS MS
801 FAIRVIEW
RICHLAND, MI 49083
Phone number: 269-629-9465