DR. Larissa Kyle Bishop, D.D.S.
NPI #1275552010 in Grandville, Michigan
Provider Information
- NPI Number
- 1275552010
- Entity Type
- Individual
- Name
- DR. Larissa Kyle Bishop, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3181 PRAIRIE ST SW
- Address 2
- SUITE 106
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418-2097
- Phone
- (616) 531-0360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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