Individual
MS. MARLA KETTY FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2064 BALDWIN ST STE A, JENISON, MI 49428-8773
(616) 229-0269
Mailing address
600 UNION AVE SE UNIT 1, GRAND RAPIDS, MI 49503-5428
(857) 210-3146
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600924
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
06/10/2022
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