Kenneth Roedema, D.D.S
NPI 1174635346 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1632 Leonard St Nw
Grand Rapids, MI 49504 - Phone
- (616) 453-5331
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan