Individual
DR. BRETT KINGMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1179 E PARIS AVE SE, GRAND RAPIDS, MI 49546-8371
(616) 942-9840
(616) 942-0170
Mailing address
1392 CLERMONT ST, DENVER, CO 80220-2440
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901021450
MI
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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