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1376636415
BRIAN KENNETH CARPENTER
GRAND RAPIDS, MI
NPI
1376636415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901017101)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Mr. BRIAN KENNETH CARPENTER DDS
2750 BRETON RD SE
GRAND RAPIDS, MI 49546
Phone number: 616-949-2591
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Mailing Address
Mr. BRIAN KENNETH CARPENTER DDS
6521 SCARBOROUGH
ADA, MI 49301
Phone number: 616-682-0318
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