Individual
KATHRYN LYNN SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3250 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 669-6600
Mailing address
1303 MARSMAN AVE SE, GRAND RAPIDS, MI 49546-3825
(248) 705-3285
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901021795
MI
Other
Enumeration date
06/24/2014
Last updated
11/29/2018
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