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Organization
KATHLEEN M. EISIN, DDS MS PLLC
Active
Organization
KATHLEEN M. EISIN, DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN EISIN DDS MS (DOCTOR PRESIDENT)
(616) 656-0100
Entity
Organization
Contact information
Practice address
6677 CROSSINGS DRIVE SE, SUITE 3, GRAND RAPIDS, MI 49508
(616) 656-0100
(616) 656-0400
Mailing address
6677 CROSSINGS DRIVE SE, SUITE 3, GRAND RAPIDS, MI 49508
(616) 656-0100
(616) 656-0400
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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