KENT R WILDERN DDS PC

GRAND RAPIDS, MI
NPI1750803300
Entity TypeOrganization
Authorized ContactKENT RAYMOND WILDERN
Owner
616-364-8716
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2017-07-14
Last Update Date2022-07-21
Business Address
KENT R WILDERN DDS PC
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525-1644
Phone number: 616-364-8716
Mailing Address
KENT R WILDERN DDS PC
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525-1644
Phone number: 616-364-8716