AMY BROEKSTRA

GRAND RAPIDS, MI
NPI1679931158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902002695)
Enumeration Date2016-01-29
Last Update Date2016-01-29
Business Address
-- AMY BROEKSTRA RDH
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503-4262
Phone number: 616-776-2366
Mailing Address
-- AMY BROEKSTRA RDH
101 SHELDON BLVD SE
GRAND RAPIDS, MI 49503-4262
Phone number: 616-776-2366