Holland Family Dentistry

NPI 1043609738 - Dentist - 1223G0001X

NPI Details
NPI 1043609738
Enumeration Date 01/18/2015
Last Updated 01/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KALISHA LEONE KALISHA
Position PARTNER
Phone (616) 396-1058
Fax
Practice Location
545 MICHIGAN AVE
HOLLAND MI, 49423-4749, US
Phone (616) 396-1058
Fax
Business Location
545 MICHIGAN AVE
HOLLAND MI, 49423-4749, US
Phone (616) 396-1058
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 290101169
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According to our database, Holland Family Dentistry NPI is 1043609738, taxonomy code is 1223G0001X and license number is 290101169, license state is located at Michigan. Holland Family Dentistry physically located at 545 Michigan Ave, Holland MI, 49423-4749. NPI Number 1033115704 has the healthcare provider type.

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1043609738 NPI number is provided on an as is basis without warranty of any kind. 1043609738 is maintained by the National Plan & Provider Enumeration System. The contents of Holland Family Dentistry are for informational purposes only.