| NPI | 1144628694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SALAZAR TOTH Owner 616-531-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901020529) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901019847) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |