| 44th Street Dental | |
|
2450 44th Street Se, St 203 Kentwood MI 49512 | |
| (810) 623-2747 | |
| Not Available |
| Full Name | 44th Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2450 44th Street Se, St 203, Kentwood, Michigan |
| Authorized Official Name and Position | Evan Joseph Kowalski (MEMBER) |
| Authorized Official Contact | 8106232747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 44th Street Dental 2450 44th Street Se, St 203 Kentwood MI 49512 Ph: (810) 623-2747 | 44th Street Dental 2450 44th Street Se, St 203 Kentwood MI 49512 Ph: (810) 623-2747 |
| NPI Number | 1356038392 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 10/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356038392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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