| NPI | 1093964470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEAN VAN ESSEN Dentist 616-669-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014223) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |