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Organization
KEVIN A. COE D.D.S., PC
Active
Organization
KEVIN A. COE D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ANDREW COE D.D.S. (DENTIST)
(616) 281-3020
Entity
Organization
Contact information
Practice address
4760 KALAMAZOO AVE SE, KENTWOOD, MI 49508-4628
(616) 281-3020
(616) 281-6110
Mailing address
817 CHIPPEWA DR SE, GRAND RAPIDS, MI 49506-3319
(616) 283-0170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018440
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D184400
BCBS ID #
MI
Enumeration date
08/03/2006
Last updated
08/22/2020
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