# KYLE L. VONK DDS P.C.

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

## Provider details

- **NPI number:** 1134668460
- **Authorized official:** DR. KYLE LON VONK DDS (OWNER/DOCTOR)
- **Authorized official phone:** (269) 428-4430

## Contact information

- **Practice address:** 2607 S. CLEVELAND AVE., ST. JOSEPH, MI 49085
- **Practice address phone:** (269) 428-4430
- **Practice address fax:** (269) 428-0037
- **Mailing address:** 2607 S. CLEVELAND AVE., ST. JOSEPH, MI 49085
- **Mailing address phone:** (269) 428-4430
- **Mailing address fax:** (269) 428-0037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901016338 | MI | Yes |

## Other

- **Enumeration date:** 02/20/2017
- **Last updated:** 02/20/2017