# KB FAMILY DENTISTRY PLC

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

## Provider details

- **NPI number:** 1154788230
- **Authorized official:** KATHRYN BURGGRAAF DDS (OWNER)
- **Authorized official phone:** (616) 241-2659

## Contact information

- **Practice address:** 3167 KALAMAZOO AVE SE \# 1, GRAND RAPIDS, MI 49508-1475
- **Practice address phone:** (616) 241-2659
- **Mailing address:** 3167 KALAMAZOO AVE SE \# 1, GRAND RAPIDS, MI 49508-1475
- **Mailing address phone:** (616) 241-2659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901019580 | MI | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016