| NPI | 1063537173 |
|---|---|
| Doing Business As | STOUT AND GORDON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL GORDON Dentist 616-399-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018180) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901014148) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |