| NPI | 1114323664 |
|---|---|
| Doing Business As | CLARK AND VANOVERLOOP FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AARON SAMUEL CLARK Dentist / Member 616-457-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2020-10-21 |