| Kentwood Family Dental Care, Plc | |
|
4611 N Breton Ct Se Kentwood MI 49508-5211 | |
| (616) 612-1176 | |
| Not Available |
| Full Name | Kentwood Family Dental Care, Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4611 N Breton Ct Se, Kentwood, Michigan |
| Authorized Official Name and Position | Britney Dice (OFFICE MANAGER) |
| Authorized Official Contact | 6164375581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentwood Family Dental Care, Plc 4611 N Breton Ct Se Kentwood MI 49508-5211 Ph: (616) 612-1176 | Kentwood Family Dental Care, Plc 4611 N Breton Ct Se Kentwood MI 49508-5211 Ph: (616) 612-1176 |
| NPI Number | 1346855665 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346855665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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