Organization
KENT FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W. STACHEL D.D.S. (PRESIDENT)
(616) 364-9348
Entity
Organization
Contact information
Practice address
2515 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1924
(616) 364-9348
(616) 364-5950
Mailing address
7604 WOODVALE ST SE, GRAND RAPIDS, MI 49546-9147
(616) 364-9348
(616) 364-5950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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