Organization
GENTLE DENTAL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN T KIRKLAND DDS (OWNER)
(734) 522-2122
Entity
Organization
Contact information
Practice address
35270 NANKIN BLVD, SUITE 502, WESTLAND, MI 48185-7221
(734) 522-2122
(734) 522-2436
Mailing address
35270 NANKIN BLVD, SUITE 502, WESTLAND, MI 48185-7221
(734) 522-2122
(734) 522-2436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801179
BLUE CROSS BLUE SHEILD
MI
Enumeration date
06/25/2008
Last updated
06/25/2008
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