| Dock Dental Kalamazoo Pllc | |
|
2380 Health Dr Sw Ste 230 Wyoming MI 49519-9702 | |
| (616) 341-7701 | |
| Not Available |
| Full Name | Dock Dental Kalamazoo Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2380 Health Dr Sw Ste 230, Wyoming, Michigan |
| Authorized Official Name and Position | Carol Marie Guevara (INSURANCE COORDINATOR) |
| Authorized Official Contact | 6163417701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dock Dental Kalamazoo Pllc 2380 Health Dr Sw Ste 230 Wyoming MI 49519-9702 Ph: (616) 341-7701 | Dock Dental Kalamazoo Pllc 2380 Health Dr Sw Ste 230 Wyoming MI 49519-9702 Ph: (616) 341-7701 |
| NPI Number | 1184330201 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184330201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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