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Organization

KYLE L. VONK DDS P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYLE LON VONK DDS (OWNER/DOCTOR)
(269) 428-4430
Entity
Organization

Contact information

Practice address
2607 S. CLEVELAND AVE., ST. JOSEPH, MI 49085
(269) 428-4430
(269) 428-0037
Mailing address
2607 S. CLEVELAND AVE., ST. JOSEPH, MI 49085
(269) 428-4430
(269) 428-0037

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016338
MI

Other

Enumeration date
02/20/2017
Last updated
02/20/2017
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