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1902877988
C PHILIP DOEZEMA
GRAND RAPIDS, MI
NPI
1902877988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 29010112283)
Enumeration Date
2006-01-30
Last Update Date
2007-07-08
Business Address
-- C PHILIP DOEZEMA DDS
2003 BURTON SE
GRAND RAPIDS, MI 49506-4600
Phone number: 616-243-7836
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Mailing Address
-- C PHILIP DOEZEMA DDS
2003 BURTON SE
GRAND RAPIDS, MI 49506-4600
Phone number: 616-243-7836
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