Individual
CAITLIN KOVALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BOND AVE NW APT 814, GRAND RAPIDS, MI 49503-6709
(517) 610-1084
Mailing address
156 E CHERRY ST, ZEELAND, MI 49464
(616) 772-9898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020658
MI
Other
Enumeration date
07/20/2012
Last updated
06/09/2015
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