# MICHELLE KITZROW DDS PC

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

## Provider details

- **NPI number:** 1134520711
- **Authorized official:** DR. MICHELLE KITZROW DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (616) 772-6933

## Contact information

- **Practice address:** 243 E MAIN AVE, ZEELAND, MI 49464-1737
- **Practice address phone:** (616) 772-6933
- **Mailing address:** 243 E MAIN AVE, ZEELAND, MI 49464-1737
- **Mailing address phone:** (616) 772-6933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19609 | MI | Yes |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 09/15/2014