| Tongue Tie Specialists Of West Michigan | |
|
2155 E Paris Ave Se Ste 120 Grand Rapids MI 49546-6190 | |
| (616) 608-8898 | |
| Not Available |
| Full Name | Tongue Tie 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 Swanson (OWNER) |
| Authorized Official Contact | 6166088898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tongue Tie Specialists Of West Michigan 2155 E Paris Ave Se Ste 120 Grand Rapids MI 49546-6190 Ph: (616) 608-8898 | Tongue Tie Specialists Of West Michigan 2155 E Paris Ave Se Ste 120 Grand Rapids MI 49546-6190 Ph: (616) 608-8898 |
| NPI Number | 1861191280 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861191280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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