Individual
KENNETH ALAN VELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2350 STONEBRIDGE DR, BUILDING H, FLINT, MI 48532
(810) 230-9091
Mailing address
28793 APPLEBLOSSOM, FARMINGTON HILLS, MI 48331
(248) 489-1962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2597927
—
MI
Enumeration date
10/03/2006
Last updated
07/08/2007
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