| Kb Family Dentistry Plc | |
|
3167 Kalamazoo Ave Se # 1 Grand Rapids MI 49508-1475 | |
| (616) 241-2659 | |
| Not Available |
| Full Name | Kb Family Dentistry Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3167 Kalamazoo Ave Se # 1, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kathryn Burggraaf (OWNER) |
| Authorized Official Contact | 6162412659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kb Family Dentistry Plc 3167 Kalamazoo Ave Se # 1 Grand Rapids MI 49508-1475 Ph: (616) 241-2659 | Kb Family Dentistry Plc 3167 Kalamazoo Ave Se # 1 Grand Rapids MI 49508-1475 Ph: (616) 241-2659 |
| NPI Number | 1154788230 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154788230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019580 (Michigan) | Primary |
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