| Kv Family Dental Pllc | |
|
300 S State St Ste 2 Zeeland MI 49464-1677 | |
| (616) 772-6243 | |
| Not Available |
| Full Name | Kv Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 S State St Ste 2, Zeeland, Michigan |
| Authorized Official Name and Position | Karel Vandervelden (OWNER) |
| Authorized Official Contact | 6167726243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kv Family Dental Pllc 300 S State St Ste 2 Zeeland MI 49464-1677 Ph: (616) 772-6243 | Kv Family Dental Pllc 300 S State St Ste 2 Zeeland MI 49464-1677 Ph: (616) 772-6243 |
| NPI Number | 1194206433 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 03/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194206433 | NPI | - | NPPES |
| 1932598802 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901021386 (Michigan) | Primary |
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