Nicole Kooiker, D.D.S
Dentist, General Practice in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1346353471
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346353471
- Entity type
- Individual (NPI-1)
- Name
- Nicole Kooiker
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901018147 | MI | Yes |
Practice location
751 Lafayette Ave NeGrand Rapids, MI 49503-1628
Phone 616-742-9941
Mailing address
550 Cherry St SeGrand Rapids, MI 49503-4748
Phone 616-235-7280 · Fax 616-752-4119
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All 237 General Practice Dentistry providers in Grand Rapids · All 20,987 providers in Grand Rapids
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