Organization
BECKWITH FAMILY DENTAL CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HASSE KIRKWOOD DDS (GENERAL DENTIST PARTNER)
(616) 459-0478
Entity
Organization
Contact information
Practice address
1726 LEONARD ST NE, GRAND RAPIDS, MI 49505-5636
(616) 459-0478
(616) 742-6021
Mailing address
1726 LEONARD ST NE, GRAND RAPIDS, MI 49505-5636
(616) 459-0478
(616) 742-6021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901013583
MI
122300000X
Dentist
Primary
2901016145
MI
122300000X
Dentist
2901018904
MI
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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