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General NPI Number Information
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NPI Number | 1972679504
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Entity Type | Organization
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Legal Business Name | DWIGHT J MONSMA DDS PC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3521 LAKE EASTBROOK BLVD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546
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Country | US
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Telephone | 616-942-9891
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Fax | 616-942-9891
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Provider Business Mailing Address
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Address Line | 3521 LAKE EASTBROOK BLVD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546
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Country | US
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Telephone | 616-942-9891
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Fax | 616-942-9894
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | MS. EWA BARBARA OSTROWSKI
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Credential |
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Telephone | 616-942-9891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901008106
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License Number State | MI
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