Organization
S. RANGRASS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SECORD (OFFICE MANAGER)
(269) 929-1555
Entity
Organization
Contact information
Practice address
1719 E G AVE, KALAMAZOO, MI 49004-1703
(269) 382-5327
(269) 382-2129
Mailing address
1719 E G AVE, KALAMAZOO, MI 49004-1703
(269) 382-5327
(269) 382-2129
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
06/09/2022
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