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1669119152
MARK JOHN WIERENGA
GRANDVILLE, MI
NPI
1669119152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: MI 2901020872)
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
DR. MARK JOHN WIERENGA DDS, MS
3131 44TH ST SW
GRANDVILLE, MI 49418-2684
Phone number: 616-301-8900
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Mailing Address
DR. MARK JOHN WIERENGA DDS, MS
4421 PENNY LN SW
WYOMING, MI 49418-9383
Phone number: 616-862-8202
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