| NPI | 1386371078 |
|---|---|
| Doing Business As | KENTWOOD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN E HECKER Owner 616-724-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |