Randy James Breen D.D.S.

NPI 1003815655 - Dentist - 1223G0001X

NPI Details
NPI 1003815655
Gender Male
Enumeration Date 07/17/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
515 LAKESIDE DR SE
#208
GRAND RAPIDS MI, 49506-2931, US
Phone (616) 454-9091
Fax (616) 454-1159
Business Location
2435 ROLLING MEADOW DR NE
BELMONT MI, 49306-9332, US
Phone (616) 863-9515
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901014055
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According to our database, Dr. Randy James Breen D.D.S. NPI is 1003815655, taxonomy code is 1223G0001X and license number is 2901014055, license state is located at Michigan. Randy James Breen D.D.S. physically located at 515 Lakeside Dr Se, Grand Rapids MI, 49506-2931. NPI Number Randy James Breen D.D.S. has the Individual type.

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1003815655 NPI number is provided on an as is basis without warranty of any kind. 1003815655 is maintained by the National Plan & Provider Enumeration System. The contents of Randy James Breen D.D.S. are for informational purposes only.