Organization
PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN L SWANSON (PEDIATRIC DENTIST)
(248) 705-3285
Entity
Organization
Contact information
Practice address
2155 E PARIS AVE SE STE 120, GRAND RAPIDS, MI 49546-6142
(616) 608-8898
Mailing address
717 CROSWELL AVE SE, EAST GRAND RAPIDS, MI 49506-3005
(248) 705-3285
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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