Individual
DR. RONALD KITCHEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 JOHN R ST, 553/11-S(DENTAL), DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-026386
IL
1223P0700X
Prosthodontics
Primary
2901020584
MI
Other
Enumeration date
08/29/2006
Last updated
03/05/2020
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