Organization
KV FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREL VANDERVELDEN DMD (OWNER)
(616) 772-6243
Entity
Organization
Contact information
Practice address
300 S STATE ST STE 2, ZEELAND, MI 49464-1677
(616) 772-6243
Mailing address
300 S STATE ST STE 2, ZEELAND, MI 49464-1677
(616) 772-6243
(616) 772-9380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932598802
—
MI
Enumeration date
08/24/2018
Last updated
03/13/2019
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