Holland Family Dentistry | |
545 Michigan Ave Holland MI 49423-4749 | |
(616) 396-1058 | |
Not Available |
Full Name | Holland Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 545 Michigan Ave, Holland, Michigan |
Authorized Official Name and Position | Kalisha Leone Morin (PARTNER) |
Authorized Official Contact | 6163961058 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Holland Family Dentistry 545 Michigan Ave Holland MI 49423-4749 Ph: (616) 396-1058 | Holland Family Dentistry 545 Michigan Ave Holland MI 49423-4749 Ph: (616) 396-1058 |
NPI Number | 1043609738 |
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Provider Enumeration Date | 01/18/2015 |
Last Update Date | 01/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043609738 | NPI | - | NPPES |
1891743456 | Other | MI | NPI INDIVIDUAL |
124064660 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 290101169 (Michigan) | Primary |
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› Verified 7 days ago
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