Individual
DR. KENNETH JOHN ROEDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1632 LEONARD ST NW, GRAND RAPIDS, MI 49504-3994
(616) 453-5331
Mailing address
1632 LEONARD ST NW, GRAND RAPIDS, MI 49504-3994
(616) 453-5331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11344
MI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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