| Holland Family Dentistry | |
|
545 Michigan Ave Holland MI 49423-4749 | |
| (616) 396-1058 | |
| Not Available |
| Full Name | Holland Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 545 Michigan Ave, Holland, Michigan |
| Authorized Official Name and Position | Kalisha Leone Morin (PARTNER) |
| Authorized Official Contact | 6163961058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Family Dentistry 545 Michigan Ave Holland MI 49423-4749 Ph: (616) 396-1058 | Holland Family Dentistry 545 Michigan Ave Holland MI 49423-4749 Ph: (616) 396-1058 |
| NPI Number | 1043609738 |
|---|---|
| Provider Enumeration Date | 01/18/2015 |
| Last Update Date | 01/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043609738 | NPI | - | NPPES |
| 1891743456 | Other | MI | NPI INDIVIDUAL |
| 124064660 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 290101169 (Michigan) | Primary |
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