Organization
KALAMAZOO PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MICHAEL BASLER DDS (OWNER/DENTIST)
(269) 343-5386
Entity
Organization
Contact information
Practice address
1900 WHITES RD, KALAMAZOO, MI 49008-2872
(269) 343-5386
(269) 343-0913
Mailing address
1900 WHITES RD, KALAMAZOO, MI 49008-2872
(269) 343-5386
(269) 343-0913
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
09/17/2014
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