# KENNETH J. KIEFT DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Red Arrow Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124293048
- **Authorized official:** DR. KENNETH J KIEFT DDS (PRESIDENT)
- **Authorized official phone:** (269) 465-3001

## Contact information

- **Practice address:** 9500 RED ARROW HWY, BRIDGMAN, MI 49106-9593
- **Practice address phone:** (269) 465-3001
- **Practice address fax:** (269) 465-3001
- **Mailing address:** 9500 RED ARROW HWY, P.O. BOX 769, BRIDGMAN, MI 49106-9593
- **Mailing address phone:** (269) 465-3001
- **Mailing address fax:** (269) 465-3001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901009243 | MI | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008
