Mitten Kids Dentistry Caledonia Plc | |
6477 Cherry Meadow Dr Se Ste 4 Caledonia MI 49316-7351 | |
(616) 942-9840 | |
Not Available |
Full Name | Mitten Kids Dentistry Caledonia Plc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 6477 Cherry Meadow Dr Se Ste 4, Caledonia, Michigan |
Authorized Official Name and Position | Grady Randall (OWNER) |
Authorized Official Contact | 6169429840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mitten Kids Dentistry Caledonia Plc 1179 E Paris Ave Se Ste 130 Grand Rapids MI 49546-3682 Ph: (616) 552-9701 | Mitten Kids Dentistry Caledonia Plc 6477 Cherry Meadow Dr Se Ste 4 Caledonia MI 49316-7351 Ph: (616) 942-9840 |
NPI Number | 1457914038 |
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Provider Enumeration Date | 04/18/2019 |
Last Update Date | 04/18/2019 |
Identifier | Type | State | Issuer |
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1457914038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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