Kyle L. Vonk Dds P.c. | |
2607 S. Cleveland Ave. St. Joseph MI 49085 | |
(269) 428-4430 | |
(269) 428-0037 |
Full Name | Kyle L. Vonk Dds P.c. |
---|---|
Speciality | Dentist |
Location | 2607 S. Cleveland Ave., St. Joseph, Michigan |
Authorized Official Name and Position | Kyle Lon Vonk (OWNER/DOCTOR) |
Authorized Official Contact | 2694284430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kyle L. Vonk Dds P.c. 2607 S. Cleveland Ave. St. Joseph MI 49085 Ph: (269) 428-4430 | Kyle L. Vonk Dds P.c. 2607 S. Cleveland Ave. St. Joseph MI 49085 Ph: (269) 428-4430 |
NPI Number | 1134668460 |
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Provider Enumeration Date | 02/20/2017 |
Last Update Date | 02/20/2017 |
Identifier | Type | State | Issuer |
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1134668460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901016338 (Michigan) | Primary |