Organization
KENTWOOD DENTAL ASSOCIATES
Active
Other names
Dental Associates of West Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M CONLON D.D.S. (PART OWNER)
(616) 554-5970
Entity
Organization
Contact information
Practice address
6208 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-7893
(616) 554-5970
Mailing address
6208 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-7893
(616) 554-5970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17185
MI
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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