Katherine Vander Wal, DDS

NPI 1265700025 · on the registry since 2011 · sole proprietor

Practice

Address: 7706 Georgetown Center Dr
Jenison, MI 49428
Phone: (616) 855-0005
Organisation at this address: Logan C Smith Dds Pllc
Holly G. Aylworth D.D.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan