Organization
MITTEN KIDS ORTHODONTICS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT KINGMA DDS (MEMBER)
(616) 942-9840
Entity
Organization
Contact information
Practice address
1179 E PARIS AVE SE STE 130, GRAND RAPIDS, MI 49546-3682
(616) 942-9840
(616) 942-9701
Mailing address
1179 E PARIS AVE SE STE 130, GRAND RAPIDS, MI 49546-3682
(616) 942-9840
(616) 942-9701
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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