Organization
KB DENTAL WEST BLOOMFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN BALUTOWICZ DDS (PRESIDENT)
(248) 363-5600
Entity
Organization
Contact information
Practice address
6615 COMMERCE RD STE 100, WEST BLOOMFIELD, MI 48324-2717
(248) 363-5600
Mailing address
6615 COMMERCE RD STE 100, WEST BLOOMFIELD, MI 48324-2717
(248) 363-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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