LARISSA KYLE BISHOP

GRANDVILLE, MI
NPI1275552010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901018015)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Dr. LARISSA KYLE BISHOP D.D.S.
3181 PRAIRIE ST SW SUITE 106
GRANDVILLE, MI 49418-2097
Phone number: 616-531-0360
Mailing Address
Dr. LARISSA KYLE BISHOP D.D.S.
813 CHIPPEWA DR SE
GRAND RAPIDS, MI 49506-3319
Phone number:
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