Organization
HOLLAND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALISHA LEONE MORIN DDS (PARTNER)
(616) 396-1058
Entity
Organization
Contact information
Practice address
545 MICHIGAN AVE, HOLLAND, MI 49423-4749
(616) 396-1058
Mailing address
545 MICHIGAN AVE, HOLLAND, MI 49423-4749
(616) 396-1058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
290101169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124064660
—
MI
01
—
1891743456
NPI INDIVIDUAL
MI
Enumeration date
01/18/2015
Last updated
01/18/2015
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