NPI | 1134360019 |
---|---|
Entity Type | Organization |
Authorized Contact | JON C FEINAUER Owner 616-458-8593 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011979) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2016-07-21 |