NPI:
1942327259
Provider Name:
WEST MICHIGAN PEDIATRIC DENTISTRY
Other Name: WEST MICHIGAN PEDATRIC DENTISTRY, LLC
Classification:
Dentist - 1223P0221X
Entity Type:
Organization
Specialization: Pediatric Dentistry
Address:
845 E. 16TH ST
HOLLAND, MI
ZIP 49423
Phone:
(616) 392-2381
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WEST MICHIGAN PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Holland, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WEST MICHIGAN PEDIATRIC DENTISTRY NPI is 1942327259. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is West Michigan Pedatric Dentistry, Llc.
The provider's business location address is:
845 E. 16TH ST
HOLLAND, MI
ZIP 49423
Phone: (616) 392-2381
Fax: (616) 392-3748
The provider's authorized official is Kathy Wissink .
The authorized official title is Office Manager and has the following contact phone number (616) 392-2381.
The enumeration date for this NPI number is 3/23/2007 and was last updated on 9/24/2021.