C PHILIP DOEZEMA

GRAND RAPIDS, MI
NPI1902877988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  29010112283)
Enumeration Date2006-01-30
Last Update Date2007-07-08
Business Address
-- C PHILIP DOEZEMA DDS
2003 BURTON SE
GRAND RAPIDS, MI 49506-4600
Phone number: 616-243-7836
Mailing Address
-- C PHILIP DOEZEMA DDS
2003 BURTON SE
GRAND RAPIDS, MI 49506-4600
Phone number: 616-243-7836