Individual
MR. BRIAN KENNETH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2750 BRETON RD SE, GRAND RAPIDS, MI 49546
(616) 949-2591
(616) 954-2425
Mailing address
6521 SCARBOROUGH, ADA, MI 49301
(616) 682-0318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017101
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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