| Kathleen M. Eisin, Dds Ms Pllc | |
|
6677 Crossings Drive Se Suite 3 Grand Rapids MI 49508 | |
| (616) 656-0100 | |
| (616) 656-0400 |
| Full Name | Kathleen M. Eisin, Dds Ms Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6677 Crossings Drive Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kathleen Eisin (DOCTOR PRESIDENT) |
| Authorized Official Contact | 6166560100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M. Eisin, Dds Ms Pllc 6677 Crossings Drive Se Suite 3 Grand Rapids MI 49508 Ph: (616) 656-0100 | Kathleen M. Eisin, Dds Ms Pllc 6677 Crossings Drive Se Suite 3 Grand Rapids MI 49508 Ph: (616) 656-0100 |
| NPI Number | 1619196060 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619196060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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