| Breton Gardens Family Dentistry | |
|
4144 Breton Rd Se Kentwood MI 49512-3856 | |
| (616) 455-0720 | |
| (616) 455-0815 |
| Full Name | Breton Gardens Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4144 Breton Rd Se, Kentwood, Michigan |
| Authorized Official Name and Position | David Edward May (OWNER/DENTIST) |
| Authorized Official Contact | 6164550720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breton Gardens Family Dentistry 4144 Breton Rd Se Kentwood MI 49512-3856 Ph: (616) 455-0720 | Breton Gardens Family Dentistry 4144 Breton Rd Se Kentwood MI 49512-3856 Ph: (616) 455-0720 |
| NPI Number | 1942471826 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942471826 | NPI | - | NPPES |
| 4234026 | Medicaid | MI | |
| 4234035 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15053 (Michigan) | Primary |
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