Organization

Pediatric Dental Specialists Of West Michigan

Pediatric Dentist in Grand Rapids, MI(View on Map)

Legal Business Name

Pediatric Dental Specialists Of West Michigan

NPI Number

1184194433

NPI Type

Organization

Enumeration Date

11/29/2018

Specialties

(Taxonomies)

Code

1223P0221X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

717 CROSWELL AVE SE
2155 E PARIS AVE SE STE 120

City

East Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49506-3005
49546-6142

Country

US
US

Telephone Number

(248) 705-3285
(616) 608-8898

Authorized Official

Name

Dr. Kathryn Swanson

Title or Position

PEDIATRIC DENTIST

Telephone Number

(248) 705-3285

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/29/2018

Provider Address

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