# KENTWOOD DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Associates of West Michigan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194992933
- **Authorized official:** DR. STEVEN M CONLON D.D.S. (PART OWNER)
- **Authorized official phone:** (616) 554-5970

## Contact information

- **Practice address:** 6208 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-7893
- **Practice address phone:** (616) 554-5970
- **Mailing address:** 6208 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-7893
- **Mailing address phone:** (616) 554-5970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 17185 | MI | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 05/12/2008