KENT RAYMOND WILDERN

GRAND RAPIDS, MI
NPI1679623813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  12606)
Enumeration Date2007-01-11
Last Update Date2007-07-09
Business Address
Dr. KENT RAYMOND WILDERN DDS
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525-1644
Phone number: 616-364-8716
Mailing Address
Dr. KENT RAYMOND WILDERN DDS
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525-1644
Phone number: 616-364-8716