Judith L Wybenga DDS

NPI 1073668729 - Dentist - 1223G0001X

NPI Details
NPI 1073668729
Gender Female
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
305 E BROADWAY ST
MT PLEASANT MI, 48858-2647, US
Phone (989) 779-8747
Fax (989) 953-4037
Business Location
3609 BUCK DR
MT PLEASANT MI, 48858-8820, US
Phone (989) 779-8747
Fax (989) 953-4037
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 18126
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According to our database, Dr. Judith L Wybenga DDS NPI is 1073668729, taxonomy code is 1223G0001X and license number is 18126, license state is located at Michigan. Judith L Wybenga DDS physically located at 305 E Broadway St, Mt Pleasant MI, 48858-2647. NPI Number Judith L Wybenga DDS has the Individual type.

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1073668729 NPI number is provided on an as is basis without warranty of any kind. 1073668729 is maintained by the National Plan & Provider Enumeration System. The contents of Judith L Wybenga DDS are for informational purposes only.