| 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 |