Individual
DR. DENNIS KORDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 S MICHIGAN AVE, BIG RAPIDS, MI 49307-1809
(231) 796-4747
(231) 796-5711
Mailing address
201 MICHIGAN AVE, BIG RAPIDS, MI 49307
(231) 796-4747
(231) 796-5711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013080
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901013080
STATE LICENSE
MI
Enumeration date
07/31/2006
Last updated
05/23/2013
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