Individual
DR. KRISTA KAPPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 BURLINGAME AVE SW, WYOMING, MI 49509-2609
(616) 235-7272
Mailing address
2929 BURLINGAME AVE SW, WYOMING, MI 49509-2609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021222
MI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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