| Pediatric Dental Specialists Of West Michigan | |
|
2155 E Paris Ave Se Ste 120 Grand Rapids MI 49546-6142 | |
| (616) 608-8898 | |
| Not Available |
| Full Name | Pediatric Dental Specialists Of West Michigan |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2155 E Paris Ave Se Ste 120, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kathryn L Swanson (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2487053285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists Of West Michigan 717 Croswell Ave Se East Grand Rapids MI 49506-3005 Ph: (248) 705-3285 | Pediatric Dental Specialists Of West Michigan 2155 E Paris Ave Se Ste 120 Grand Rapids MI 49546-6142 Ph: (616) 608-8898 |
| NPI Number | 1184194433 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184194433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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