Organization
KB FAMILY DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BURGGRAAF DDS (OWNER)
(616) 241-2659
Entity
Organization
Contact information
Practice address
3167 KALAMAZOO AVE SE # 1, GRAND RAPIDS, MI 49508-1475
(616) 241-2659
Mailing address
3167 KALAMAZOO AVE SE # 1, GRAND RAPIDS, MI 49508-1475
(616) 241-2659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019580
MI
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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