Organization
KATHLEEN M. EISIN, DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN EISIN DDS MS (DOCTOR PRESIDENT)
(616) 656-0100
Entity
Organization
Contact information
Practice address
6677 CROSSINGS DRIVE SE, SUITE 3, GRAND RAPIDS, MI 49508
(616) 656-0100
(616) 656-0400
Mailing address
6677 CROSSINGS DRIVE SE, SUITE 3, GRAND RAPIDS, MI 49508
(616) 656-0100
(616) 656-0400
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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