| NPI | 1780329482 |
|---|---|
| Doing Business As | MITCHELL S VANDER BAAN DDS, PLLC |
| Entity Type | Organization |
| Authorized Contact | DR. MITCHELL SCOTT VANDER BAAN Owner 616-364-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |