| Mitten Kids Dentistry Cascade Plc | |
|
1179 E Paris Ave Se Ste 130 Grand Rapids MI 49546-3682 | |
| (616) 942-9840 | |
| Not Available |
| Full Name | Mitten Kids Dentistry Cascade Plc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1179 E Paris Ave Se Ste 130, Grand Rapids, Michigan |
| Authorized Official Name and Position | Brett Kingma (OWNER) |
| Authorized Official Contact | 6165529701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitten Kids Dentistry Cascade Plc 1179 E Paris Ave Se Ste 130 Grand Rapids MI 49546-3682 Ph: (616) 942-9840 | Mitten Kids Dentistry Cascade Plc 1179 E Paris Ave Se Ste 130 Grand Rapids MI 49546-3682 Ph: (616) 942-9840 |
| NPI Number | 1710540398 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710540398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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