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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