JOHN KENNEDY REVIS

LANSING, MI
NPI1588741466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  2901016303)
Enumeration Date2006-10-31
Last Update Date2007-07-08
Business Address
-- JOHN KENNEDY REVIS DDS
6035 EXECUTIVE DR STE 200
LANSING, MI 48911
Phone number: 517-887-7200
Mailing Address
-- JOHN KENNEDY REVIS DDS
2123 BEACON HILL DR
LANSING, MI 48906
Phone number: 517-887-7200
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