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Individual

KEVIN KNAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
1203 S BEECHTREE ST, GRAND HAVEN, MI 49417-2839
(616) 850-3970
Mailing address
16940 RILEY ST, HOLLAND, MI 49424-6018
(734) 260-1864

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021442
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901021442
MI

Other

Enumeration date
12/02/2014
Last updated
12/02/2014
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