Individual
JAGER C KUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3290 96TH AVE, ZEELAND, MI 49464-9710
(616) 772-9898
Mailing address
669 AVANTI ST NW, GRAND RAPIDS, MI 49504-8015
(616) 446-0998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602188
MI
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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