# HOLLAND FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043609738
- **Authorized official:** DR. KALISHA LEONE MORIN DDS (PARTNER)
- **Authorized official phone:** (616) 396-1058

## Contact information

- **Practice address:** 545 MICHIGAN AVE, HOLLAND, MI 49423-4749
- **Practice address phone:** (616) 396-1058
- **Mailing address:** 545 MICHIGAN AVE, HOLLAND, MI 49423-4749
- **Mailing address phone:** (616) 396-1058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 290101169 | MI | Yes |

## Other

- **Enumeration date:** 01/18/2015
- **Last updated:** 01/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 124064660 | — | MI |
| 01 | — | 1891743456 | NPI INDIVIDUAL | MI |