| Kalamazoo Pediatric Dentistry | |
|
1900 Whites Rd Kalamazoo MI 49008-2872 | |
| (269) 343-5386 | |
| (269) 343-0913 |
| Full Name | Kalamazoo Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1900 Whites Rd, Kalamazoo, Michigan |
| Authorized Official Name and Position | Ryan Michael Basler (OWNER/DENTIST) |
| Authorized Official Contact | 2693435386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Pediatric Dentistry 1900 Whites Rd Kalamazoo MI 49008-2872 Ph: (269) 343-5386 | Kalamazoo Pediatric Dentistry 1900 Whites Rd Kalamazoo MI 49008-2872 Ph: (269) 343-5386 |
| NPI Number | 1295146413 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295146413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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