Organization
KALAMAZOO COUNTY GOVERNMENT DENTAL CLINIC
Active
Organization
KALAMAZOO COUNTY GOVERNMENT DENTAL CLINIC
Active
Parent organization
COUNTY OF KALAMAZOO HEALTH & COMMUNITY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF KALAMAZOO HEALTH & COMMUNITY SERVICES
Authorized official
DOUGLAS HOMNICK MD (MEDICAL DIRECTOR)
(269) 373-5261
Entity
Organization
Contact information
Practice address
3299 GULL RD, KALAMAZOO, MI 49048-1281
(269) 373-5259
(269) 373-5292
Mailing address
PO BOX 42, NAZARETH, MI 49074-0042
(269) 373-5200
(269) 373-5363
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
04/15/2011
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